Mrs Shirley Lucille Powell, PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Redding, California. Her current practice location is
2510 Airpark Dr Ste 104, Redding, California. You can reach out to her office (for appointments etc.) via phone at
(530) 242-3570.
Mrs Shirley Lucille Powell is licensed to practice in California (license number 16701) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134222169.
Healthcare Provider's Profile
Full Name | Mrs Shirley Lucille Powell |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 2510 Airpark Dr Ste 104, Redding, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Shirley Lucille Powell attended and graduated from in
NPI Data:
- NPI Number: 1134222169
- Provider Enumeration Date: 09/06/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Shirley Lucille Powell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134222169 | NPI | - | NPPES |
09315405 | Other | | CERTIFIED DIABETES EDUCAT |
16701 | Other | CA | PHYSICIAN ASSISTANT |
672043 | Other | | REGISTERED DIETITIAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 672043 (* (Not Available)) | Secondary |
363AM0700X | Physician Assistant - Medical | 16701 (California) | 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. Mrs Shirley Lucille Powell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Shirley Lucille Powell, PA-C 3400 Data Dr, Attn: Credentialing/payer Enrollment, Rancho Cordova, CA 95670-7956 Ph: () - | Mrs Shirley Lucille Powell, PA-C 2510 Airpark Dr Ste 104, Redding, CA 96001-2461 Ph: (530) 242-3570 |
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