Charlotte L Shackelford, PAC in Purcell, OK - Medicare Physician Assistant

Charlotte L Shackelford, PAC is a medicare enrolled "Physician Assistant" in Purcell, Oklahoma. She graduated from nursing school in 1995 and has 29 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Saints Medical Group, Llc and her current practice location is 1401 N 4th Ave, Suite 201, Purcell, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 527-5400.

Charlotte L Shackelford is licensed to practice in Oklahoma (license number 746) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366601015.

Contact Information

	Charlotte L Shackelford, PAC
	1401 N 4th Ave, Suite 201, Purcell, OK 73080-1806
	(405) 527-5400
	(405) 527-7332

Map and Direction

Provider's Profile

Full Name	Charlotte L Shackelford
Gender	Female
Speciality	Physician Assistant
Experience	29 Years
Location	1401 N 4th Ave, Purcell, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charlotte L Shackelford graduated from nursing school in 1995

NPI Data:

NPI Number: 1366601015
Provider Enumeration Date: 06/07/2008
Last Update Date: 07/18/2011

Medicare PECOS Information:

PECOS PAC ID: 4880726256
Enrollment ID: I20100720001038

Medical Identifiers

Medical identifiers for Charlotte L Shackelford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366601015	NPI	-	NPPES
P00844211	Other		RRMCARE THRU PFP
200229210A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	746 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Purcell Municipal Hospital	Purcell, OK	Hospital
Ssm Health St Anthony Hospital - Oklahoma City	Oklahoma city, OK	Hospital
Norman Regional	Norman, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saints Medical Group, Llc	7012914898	358

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. Charlotte L Shackelford 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
Charlotte L Shackelford, PAC 1401 N 4th Ave, Suite 201, Purcell, OK 73080-1806 Ph: (405) 527-5400	Charlotte L Shackelford, PAC 1401 N 4th Ave, Suite 201, Purcell, OK 73080-1806 Ph: (405) 527-5400

Reviews and Comments

Physician Assistant Nurses in Purcell, OK

Amy Alane Mikles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 N Green Ave, Purcell, OK 73080 Phone: 405-527-6524
Tonja Shandy, P.A.- C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1401 N 4th Ave Ste 107, Purcell, OK 73080 Phone: 405-527-5400 Fax: 405-527-7332
Ms. Timara Leigh Stelling, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1401 N 4th Ave Ste 107, Purcell, OK 73080 Phone: 405-527-5400 Fax: 405-527-7332
Ms. Carol Jean Mccarty, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1438 Hardcastle Blvd, Purcell, OK 73080 Phone: 405-527-4700
Shawn Bridwell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1438 Hardcastle Blvd, Purcell, OK 73080 Phone: 405-527-4700 Fax: 405-527-4903

Charlotte L Shackelford, PAC - Medicare Physician Assistant in Purcell, OK