Mr Hagent Lawrence Shue, PA in Walnut, CA - Medicare Physician Assistant

Mr Hagent Lawrence Shue, PA is a medicare enrolled "Physician Assistant" in Walnut, California. His current practice location is 19304 Avenida Del Sol, Walnut, California. You can reach out to his office (for appointments etc.) via phone at (310) 962-2867.

Mr Hagent Lawrence Shue is licensed to practice in California (license number 53904) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407206485.

Contact Information

	Mr Hagent Lawrence Shue, PA
	19304 Avenida Del Sol, Walnut, CA 91789-1639
	(310) 962-2867
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Hagent Lawrence Shue
Gender	Male
Speciality	Physician Assistant
Location	19304 Avenida Del Sol, Walnut, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407206485
Provider Enumeration Date: 06/21/2016
Last Update Date: 09/13/2021

Medicare PECOS Information:

PECOS PAC ID: 5991083735
Enrollment ID: I20161028000615

Medical Identifiers

Medical identifiers for Mr Hagent Lawrence Shue such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407206485	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	53904 (California)	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. Mr Hagent Lawrence Shue 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
Mr Hagent Lawrence Shue, PA 19304 Avenida Del Sol, Walnut, CA 91789-1639 Ph: (310) 962-2867	Mr Hagent Lawrence Shue, PA 19304 Avenida Del Sol, Walnut, CA 91789-1639 Ph: (310) 962-2867

Reviews and Comments

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Mr Hagent Lawrence Shue, PA - Medicare Physician Assistant in Walnut, CA