Dr Vincent Stephen Shallow, MD is a
Urology physician based in San Marcos, California. Dr Vincent Stephen Shallow is licensed to practice in California (license number A31633) and his current practice location is 2095 Lynx Way, San Marcos, California. He can be reached at his office (for appointments etc.) via phone at
(760) 304-0226.
NPI number for Dr Vincent Stephen Shallow is 1770783052 and his current mailing address is 2095 Lynx Way, San Marcos, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770783052.
Physician's Profile
| Full Name | Dr Vincent Stephen Shallow |
|---|
| Gender | Male |
|---|
| Speciality | Urology |
|---|
| Location | 2095 Lynx Way, San Marcos, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770783052
- Provider Enumeration Date: 07/24/2007
- Last Update Date: 08/19/2013
Medical Identifiers
Medical identifiers for Dr Vincent Stephen Shallow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770783052 | NPI | - | NPPES |
| 2157538 | Other | CA | MEDI-CAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 123271 (New York) | Secondary |
| 208800000X | Urology | A31633 (California) | Primary |
| 208800000X | Urology | MD-16910 (Hawaii) | Secondary |
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. Dr Vincent Stephen Shallow 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 |
|---|
Dr Vincent Stephen Shallow, MD
2095 Lynx Way,
San Marcos, CA 92078-0905
Ph: (760) 304-0226 | Dr Vincent Stephen Shallow, MD
2095 Lynx Way,
San Marcos, CA 92078-0905
Ph: (760) 304-0226 |
Reviews and Comments