Kathryn Shackleton, is a
Case Manager/care Coordinator based in Bowling Green, Ohio. Kathryn Shackleton is licensed to practice in * (Not Available) (license number ) and her current practice location is
541 W Wooster St Fl 3, Bowling Green, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 373-6560.
NPI number for Kathryn Shackleton is 1922515600 and her current mailing address is 2005 Ashland Ave, Toledo, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922515600.
Healthcare Provider's Profile
| Full Name | Kathryn Shackleton |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 541 W Wooster St Fl 3, Bowling Green, Ohio |
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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: 1922515600
- Provider Enumeration Date: 01/04/2018
- Last Update Date: 01/04/2018
Medical Identifiers
Medical identifiers for Kathryn Shackleton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922515600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.161624 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Kathryn Shackleton 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 |
|---|
Kathryn Shackleton,
2005 Ashland Ave,
Toledo, OH 43620-1703
Ph: (419) 841-7701 | Kathryn Shackleton,
541 W Wooster St Fl 3,
Bowling Green, OH 43402-2781
Ph: (419) 373-6560 |
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