Jo Anne Shields, CADC-II is a
Psychologist - Addiction (substance Use Disorder) based in Corvallis, Oregon. Jo Anne Shields is licensed to practice in Oregon (license number 10-R-06) and her current practice location is
530 Nw 27th St, Corvallis, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 766-3450.
NPI number for Jo Anne Shields is 1427351436 and her current mailing address is 3125 Quail Ave Se, Albany, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427351436.
Healthcare Provider's Profile
| Full Name | Jo Anne Shields |
|---|
| Gender | Female |
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| Speciality | Psychologist - Addiction (substance Use Disorder) |
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| Location | 530 Nw 27th St, Corvallis, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427351436
- Provider Enumeration Date: 12/13/2010
- Last Update Date: 12/13/2010
Medical Identifiers
Medical identifiers for Jo Anne Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427351436 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A3735496 (California) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 10-R-06 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jo Anne Shields is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jo Anne Shields, CADC-II
3125 Quail Ave Se,
Albany, OR 97322-8910
Ph: (541) 704-0700 | Jo Anne Shields, CADC-II
530 Nw 27th St,
Corvallis, OR 97330-5223
Ph: (541) 766-3450 |
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