Carol L Shields, PA-C in Longview, WA - Medicare Physician Assistant

Carol L Shields, PA-C is a medicare enrolled "Physician Assistant" in Longview, Washington. Her current practice location is 1615 Delaware St, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 414-2000.

Carol L Shields is licensed to practice in Oregon (license number PA212621) 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 1962170944.

Contact Information

	Carol L Shields, PA-C
	1615 Delaware St, Longview, WA 98632-2367
	(360) 414-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Carol L Shields
Gender	Female
Speciality	Physician Assistant
Location	1615 Delaware St, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962170944
Provider Enumeration Date: 09/02/2021
Last Update Date: 01/23/2023

Medicare PECOS Information:

PECOS PAC ID: 0345372082
Enrollment ID: I20221228001814

Medical Identifiers

Medical identifiers for Carol L Shields such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962170944	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363A00000X	Physician Assistant	PA212621 (Oregon)	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. Carol L Shields 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
Carol L Shields, PA-C 38414 Se 10th St, Washougal, WA 98671-7780 Ph: (360) 409-3942	Carol L Shields, PA-C 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 414-2000

Reviews and Comments

Physician Assistant Nurses in Longview, WA

David L Oliver, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1706 Washington Way, Longview, WA 98632 Phone: 360-423-9580 Fax: 360-423-6230
Jesse R Shaffer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555
Matthew Johnson, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739
Nicholas E Austin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1706 Washington Way, Longview, WA 98632 Phone: 360-423-0390 Fax: 360-577-3865
Eric Pascual, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 921 14th Avenue, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-423-5086
Dwight Christian Tan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000
Ellie Renae Wells, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-636-2400

Carol L Shields, PA-C - Medicare Physician Assistant in Longview, WA