Shanae Mason, PA-C is a medicare enrolled "Physician Assistant" provider in Suwanee, Georgia. Her current practice location is
1120 Peachtree Industrial Blvd, Suwanee, Georgia. You can reach out to her office (for appointments etc.) via phone at
(470) 326-5560.
Shanae Mason is licensed to practice in Georgia (license number 11060) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922557537.
Healthcare Provider's Profile
Full Name | Shanae Mason |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1120 Peachtree Industrial Blvd, Suwanee, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922557537
- Provider Enumeration Date: 09/23/2016
- Last Update Date: 08/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133493752
- Enrollment ID: I20221122000309
Medical Identifiers
Medical identifiers for Shanae Mason such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922557537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1507 (South Carolina) | Secondary |
363A00000X | Physician Assistant | 11060 (Georgia) | 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. Shanae Mason 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 |
Shanae Mason, PA-C 2260 Hawks Bluff Trl, Lawrenceville, GA 30044-1812 Ph: (843) 368-8355 | Shanae Mason, PA-C 1120 Peachtree Industrial Blvd, Suwanee, GA 30024-2013 Ph: (470) 326-5560 |
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