Miranda Shelly, in Richmond, VA - Medicare Physician Assistant

Miranda Shelly, is a medicare enrolled "Physician Assistant" in Richmond, Virginia. Her current practice location is 6602 W Broad St Ste B, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 285-8206.

Miranda Shelly is licensed to practice in Virginia (license number 0110009160) 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 1679270706.

Contact Information

	Miranda Shelly,
	6602 W Broad St Ste B, Richmond, VA 23230-1702
	(804) 285-8206
	(804) 497-5469

Map and Direction

Provider's Profile

Full Name	Miranda Shelly
Gender	Female
Speciality	Physician Assistant
Location	6602 W Broad St Ste B, Richmond, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679270706
Provider Enumeration Date: 02/09/2023
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 5193190692
Enrollment ID: I20230415000050

Medical Identifiers

Medical identifiers for Miranda Shelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679270706	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0110009160 (Virginia)	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. Miranda Shelly 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
Miranda Shelly, Po Box 8310, Roanoke, VA 24014-0310 Ph: (540) 345-3556	Miranda Shelly, 6602 W Broad St Ste B, Richmond, VA 23230-1702 Ph: (804) 285-8206

Reviews and Comments

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Miranda Shelly, - Medicare Physician Assistant in Richmond, VA