Jared Michael Shelton, MD is a
Student In An Organized Health Care Education/training Program based in Mountain Home, Tennessee. Jared Michael Shelton is licensed to practice in * (Not Available) (license number ) and his current practice location is
Building 52/lake Drive, Mountain Home, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 439-8000.
NPI number for Jared Michael Shelton is 1891968228 and his current mailing address is Building 52/lake Drive, Mountain Home, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891968228.
Provider's Profile
| Full Name | Jared Michael Shelton |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | Building 52/lake Drive, Mountain Home, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891968228
- Provider Enumeration Date: 04/07/2008
- Last Update Date: 06/18/2021
Medical Identifiers
Medical identifiers for Jared Michael Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891968228 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 9748 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Jared Michael Shelton 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 |
|---|
Jared Michael Shelton, MD
Building 52/lake Drive,
Mountain Home, TN 37684
Ph: (423) 439-8000 | Jared Michael Shelton, MD
Building 52/lake Drive,
Mountain Home, TN 37684
Ph: (423) 439-8000 |
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