Angela Shields, is a
Technician - Personal Care Attendant based in Philadelphia, Pennsylvania. Angela Shields is licensed to practice in Pennsylvania (license number 31123601) and her current practice location is
5826 Pentridge St, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(267) 241-1411.
NPI number for Angela Shields is 1649729039 and her current mailing address is 5826 Pentridge St, Philadelphia, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649729039.
Provider's Profile
| Full Name | Angela Shields |
|---|
| Gender | Female |
|---|
| Speciality | Technician - Personal Care Attendant |
|---|
| Location | 5826 Pentridge St, Philadelphia, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1649729039
- Provider Enumeration Date: 09/26/2016
- Last Update Date: 02/28/2022
Medical Identifiers
Medical identifiers for Angela Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649729039 | NPI | - | NPPES |
| 31123601 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WC0400X | Registered Nurse - Case Management | 31123601 (Pennsylvania) | Secondary |
| 163WC2100X | Registered Nurse - Continence Care | 31123601 (Pennsylvania) | Secondary |
| 253Z00000X | In Home Supportive Care | 31123601 (Pennsylvania) | Secondary |
| 372500000X | Chore Provider | 31123601 (Pennsylvania) | Secondary |
| 372600000X | Adult Companion | 31123601 (Pennsylvania) | Secondary |
| 3747A0650X | Technician - Attendant Care Provider | 31123601 (Pennsylvania) | Secondary |
| 374U00000X | Home Health Aide | 31123601 (Pennsylvania) | Secondary |
| 376J00000X | Homemaker | 31123601 (Pennsylvania) | Secondary |
| 376K00000X | Nurse's Aide | 31123601 (Pennsylvania) | Secondary |
| 3747P1801X | Technician - Personal Care Attendant | 31123601 (Pennsylvania) | 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. Angela Shields 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 |
|---|
Angela Shields,
5826 Pentridge St,
Philadelphia, PA 19143-4532
Ph: (484) 561-7327 | Angela Shields,
5826 Pentridge St,
Philadelphia, PA 19143-4532
Ph: (267) 241-1411 |
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