Shelly L Stradley, DO is a
Family Medicine physician based in Deposit, New York. Shelly L Stradley is licensed to practice in New York (license number 228759) and her current practice location is 53 Pine St, Deposit, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 467-4195.
NPI number for Shelly L Stradley is 1952397689 and her current mailing address is 346 Grand Ave, Johnson City, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952397689.
Physician's Profile
| Full Name | Shelly L Stradley |
|---|
| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 53 Pine St, Deposit, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1952397689
- Provider Enumeration Date: 09/27/2005
- Last Update Date: 02/04/2014
Medical Identifiers
Medical identifiers for Shelly L Stradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952397689 | NPI | - | NPPES |
| 02426364 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 228759 (New York) | 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. Shelly L Stradley 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 |
|---|
Shelly L Stradley, DO
346 Grand Ave,
Johnson City, NY 13790-2580
Ph: (607) 467-4195 | Shelly L Stradley, DO
53 Pine St,
Deposit, NY 13754-1301
Ph: (607) 467-4195 |
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