Mr Paul Anthony Shakstad Jr, PA-C in Sierra Vista, AZ

Mr Paul Anthony Shakstad Jr, PA-C is a medicare enrolled "Physician Assistant" in Sierra Vista, Arizona. His current practice location is 5700 E Highway 90, Sierra Vista, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 263-2000.

Mr Paul Anthony Shakstad Jr is licensed to practice in Idaho (license number PA-2570) 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 1568974632.

Contact Information

	Mr Paul Anthony Shakstad Jr, PA-C
	5700 E Highway 90, Sierra Vista, AZ 85635-9110
	(520) 263-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Paul Anthony Shakstad Jr
Gender	Male
Speciality	Physician Assistant
Location	5700 E Highway 90, Sierra Vista, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568974632
Provider Enumeration Date: 10/30/2017
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 1254698780
Enrollment ID: I20171207002958

Medical Identifiers

Medical identifiers for Mr Paul Anthony Shakstad Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568974632	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	6821 (Arizona)	Secondary
363A00000X	Physician Assistant	PA-2570 (Idaho)	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 Paul Anthony Shakstad 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 Address	Practice Location Address
Mr Paul Anthony Shakstad Jr, PA-C 409 S Lenzner Ave Apt 7205, Sierra Vista, AZ 85635-5643 Ph: (310) 529-1614	Mr Paul Anthony Shakstad Jr, PA-C 5700 E Highway 90, Sierra Vista, AZ 85635-9110 Ph: (520) 263-2000

Reviews and Comments

Physician Assistant Nurses in Sierra Vista, AZ

Anna Elizabeth Inserra, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 286 S Lenzner Ave Ste A, Sierra Vista, AZ 85635 Phone: 520-452-0388 Fax: 877-281-8622
Heather D Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 198 S. Coronado Dr., Suite A, Sierra Vista, AZ 85635 Phone: 520-417-0542 Fax: 520-417-0581
Jared Lavell Haymore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5750 E Highway 90 Ste 200, Sierra Vista, AZ 85635 Phone: 520-263-3500 Fax: 520-263-3599
Mrs. Angela Allred, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2240 Winrow Ave, Usa Meddac, Rwbahc, Sierra Vista, AZ 85613 Phone: 520-533-6709
Mrs. Alyssa Rose Knapp, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5750 E Highway 90 Ste 200, Sierra Vista, AZ 85635 Phone: 520-263-3762
Amy Weierman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1916 Paseo San Luis, Cochise Dermatology, Sierra Vista, AZ 85635 Phone: 520-458-1505
Christina Schlesinger, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5750 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-452-0144

Mr Paul Anthony Shakstad Jr, PA-C - Medicare Physician Assistant in Sierra Vista, AZ