Mr John David Shull Jr, PA - Medicare Physician Assistant in Mesa, AZ

Mr John David Shull Jr, PA is a medicare enrolled "Physician Assistant - Surgical" in Mesa, Arizona. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Bhsm Rehabilitation Llc, Arizona Otolaryngology Consultants, Pc and his current practice location is 1520 S Dobson Rd Ste 217, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 539-4000.

Mr John David Shull Jr is licensed to practice in Arizona (license number 5989) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114325677.

Contact Information

Mr John David Shull Jr, PA
1520 S Dobson Rd Ste 217,
Mesa, AZ 85202-4754
(480) 539-4000
(480) 833-3040

Map and Direction




Provider's Profile

Full NameMr John David Shull Jr
GenderMale
SpecialityPhysician Assistant
Experience10 Years
Location1520 S Dobson Rd Ste 217, Mesa, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr John David Shull Jr graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1114325677
  • Provider Enumeration Date: 12/16/2014
  • Last Update Date: 04/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8921315185
  • Enrollment ID: I20150921001250

Medical Identifiers

Medical identifiers for Mr John David Shull Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114325677NPI-NPPES
1119977OtherNCCPA
5898OtherAZSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 5989 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner - University Medical Center PhoenixPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bhsm Rehabilitation Llc20627731381355
Arizona Otolaryngology Consultants, Pc529462186816

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 John David Shull Jr 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 AddressPractice Location Address
Mr John David Shull Jr, PA
4530 E Shea Blvd Ste 180,
Phoenix, AZ 85028-6042

Ph: (602) 264-4834
Mr John David Shull Jr, PA
1520 S Dobson Rd Ste 217,
Mesa, AZ 85202-4754

Ph: (480) 539-4000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.