Mrs Shalla M Proctor, PA in Baytown, TX - Medicare Physician Assistant

Mrs Shalla M Proctor, PA is a medicare enrolled "Physician Assistant" in Baytown, Texas. Her current practice location is 2655 W Baker Rd, Baytown, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 425-9205.

Mrs Shalla M Proctor is licensed to practice in Texas (license number PA08411) 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 1194759357.

Contact Information

	Mrs Shalla M Proctor, PA
	2655 W Baker Rd, Baytown, TX 77521-2206
	(281) 425-9205
	(281) 422-9408

Map and Direction

Provider's Profile

Full Name	Mrs Shalla M Proctor
Gender	Female
Speciality	Physician Assistant
Location	2655 W Baker Rd, Baytown, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194759357
Provider Enumeration Date: 07/11/2006
Last Update Date: 08/12/2014

Medicare PECOS Information:

PECOS PAC ID: 6103823992
Enrollment ID: I20140829000689

Medical Identifiers

Medical identifiers for Mrs Shalla M Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194759357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	15-01112 (Kansas)	Secondary
363A00000X	Physician Assistant	PA08411 (Texas)	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. Mrs Shalla M Proctor 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
Mrs Shalla M Proctor, PA 2655 W Baker Rd, Baytown, TX 77521-2206 Ph: (281) 425-9205	Mrs Shalla M Proctor, PA 2655 W Baker Rd, Baytown, TX 77521-2206 Ph: (281) 425-9205

Reviews and Comments

Physician Assistant Nurses in Baytown, TX

Karlie Trosclair Breaux, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4308 Allenbrook Dr, Baytown, TX 77521 Phone: 281-422-4141 Fax: 281-422-5939
Jason T. Smith, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4419 Bearberry Ave, Baytown, TX 77521 Phone: 281-691-1442
Joulieth Marcela Cardenas, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4401 Garth Rd, Baytown, TX 77521 Phone: 281-420-8600
Jennifer D Green, CST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2635 Baker Rd., Baytown, TX 77521 Phone: 281-837-8550 Fax: 281-837-8709
Kristy L Cooley Obrien, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2802 Garth Road, Suite 309, Baytown, TX 77521 Phone: 281-425-9313 Fax: 281-425-9524
Joshua Michael Clark, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 720 Rollingbrook St, Baytown, TX 77521 Phone: 281-420-9355
Edward Ji, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2800 Garth Rd, Baytown, TX 77521 Phone: 281-425-3800

Mrs Shalla M Proctor, PA - Medicare Physician Assistant in Baytown, TX