Shandalee Kimberlee Macedo, is a
Dentist based in Long Beach, California. Shandalee Kimberlee Macedo is licensed to practice in New York (license number 29049) and her current practice location is
1365 Ohio Ave Apt 304, Long Beach, California. She can be reached at her office (for appointments etc.) via phone at
(951) 807-8204.
NPI number for Shandalee Kimberlee Macedo is 1659142040 and her current mailing address is 1365 Ohio Ave Apt 304, Long Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659142040.
Healthcare Provider's Profile
| Full Name | Shandalee Kimberlee Macedo |
|---|
| Gender | Female |
|---|
| Speciality | Dentist |
|---|
| Location | 1365 Ohio Ave Apt 304, Long Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659142040
- Provider Enumeration Date: 01/15/2024
- Last Update Date: 01/15/2024
Medical Identifiers
Medical identifiers for Shandalee Kimberlee Macedo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659142040 | NPI | - | NPPES |
| 236 | Medicaid | DC | |
| 5874 | Other | | HEALTH PARTNERS |
| 568946544 | Other | | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Secondary |
| 103TS0200X | Psychologist - School | (* (Not Available)) | Secondary |
| 122300000X | Dentist | 29049 (New York) | 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. Shandalee Kimberlee Macedo 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 |
|---|
Shandalee Kimberlee Macedo,
1365 Ohio Ave Apt 304,
Long Beach, CA 90804-2450
Ph: (951) 807-8204 | Shandalee Kimberlee Macedo,
1365 Ohio Ave Apt 304,
Long Beach, CA 90804-2450
Ph: (951) 807-8204 |
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