Thomas Ryan Shealy, DMD is a
Military Health Care Provider based in Bethesda, Maryland. Thomas Ryan Shealy is licensed to practice in Texas (license number 32677) and his current practice location is
8930 Brown Dr Bldg 92nd, Bethesda, Maryland. He can be reached at his office (for appointments etc.) via phone at
(301) 319-0217.
NPI number for Thomas Ryan Shealy is 1104372788 and his current mailing address is 4323 Hill St, Fort Jackson, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104372788.
Healthcare Provider's Profile
Full Name | Thomas Ryan Shealy |
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Gender | Male |
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Speciality | Military Health Care Provider |
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Location | 8930 Brown Dr Bldg 92nd, Bethesda, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104372788
- Provider Enumeration Date: 09/01/2016
- Last Update Date: 08/21/2023
Medical Identifiers
Medical identifiers for Thomas Ryan Shealy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104372788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 32677 (Texas) | Secondary |
171000000X | Military Health Care Provider | 32677 (Texas) | 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. Thomas Ryan Shealy 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 |
Thomas Ryan Shealy, DMD 4323 Hill St, Fort Jackson, SC 29207 Ph: (803) 751-6209 | Thomas Ryan Shealy, DMD 8930 Brown Dr Bldg 92nd, Bethesda, MD 20889-5629 Ph: (301) 319-0217 |
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