Shane Mikesky, RD is a
Dietitian, Registered based in Bellvue, Colorado. Shane Mikesky is licensed to practice in * (Not Available) (license number 86174678) and his current practice location is
6309 N County Road 29c, Bellvue, Colorado. He can be reached at his office (for appointments etc.) via phone at
(317) 650-7234.
NPI number for Shane Mikesky is 1225769730 and his current mailing address is 6309 N County Road 29c, Bellvue, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225769730.
Healthcare Provider's Profile
Full Name | Shane Mikesky |
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Gender | Male |
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Speciality | Dietitian, Registered |
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Location | 6309 N County Road 29c, Bellvue, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225769730
- Provider Enumeration Date: 06/23/2022
- Last Update Date: 06/23/2022
Medical Identifiers
Medical identifiers for Shane Mikesky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225769730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86174678 (* (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. Shane Mikesky 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 |
Shane Mikesky, RD 6309 N County Road 29c, Bellvue, CO 80512-7220 Ph: (317) 650-7234 | Shane Mikesky, RD 6309 N County Road 29c, Bellvue, CO 80512-7220 Ph: (317) 650-7234 |
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