Michael Dwayne Shelby, is a
Counselor - Addiction (substance Use Disorder) based in Italy, Texas. Michael Dwayne Shelby is licensed to practice in * (Not Available) (license number ) and his current practice location is
621 Hardemen, Italy, Texas. He can be reached at his office (for appointments etc.) via phone at
(231) 462-5418.
NPI number for Michael Dwayne Shelby is 1639741200 and his current mailing address is 621 Hardeman, Italy, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639741200.
Healthcare Provider's Profile
| Full Name | Michael Dwayne Shelby |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
|---|
| Location | 621 Hardemen, Italy, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639741200
- Provider Enumeration Date: 07/13/2021
- Last Update Date: 07/13/2021
Medical Identifiers
Medical identifiers for Michael Dwayne Shelby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639741200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (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. Michael Dwayne Shelby 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 |
|---|
Michael Dwayne Shelby,
621 Hardeman,
Italy, TX 76651
Ph: () - | Michael Dwayne Shelby,
621 Hardemen,
Italy, TX 76651
Ph: (231) 462-5418 |
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