Ms Barbara Kingsley Shanley, PA-C is a medicare enrolled "Physician Assistant" in Grosse Ile, Michigan. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Theoria Medical and her current practice location is
24250 Parke Ln, Grosse Ile, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 250-4206.
Ms Barbara Kingsley Shanley is licensed to practice in Michigan (license number 5601005274) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760642557.
Provider's Profile
| Full Name | Ms Barbara Kingsley Shanley |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 19 Years |
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| Location | 24250 Parke Ln, Grosse Ile, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Barbara Kingsley Shanley graduated from nursing school in 2005
NPI Data:
- NPI Number: 1760642557
- Provider Enumeration Date: 06/15/2008
- Last Update Date: 06/15/2008
Medicare PECOS Information:
- PECOS PAC ID: 8325109309
- Enrollment ID: I20081209000611
Medical Identifiers
Medical identifiers for Ms Barbara Kingsley Shanley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760642557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 5601005274 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Theoria Medical | 5395098339 | 100 |
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. Ms Barbara Kingsley Shanley 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 |
|---|
Ms Barbara Kingsley Shanley, PA-C
24250 Parke Ln,
Grosse Ile, MI 48138-1704
Ph: (734) 250-4206 | Ms Barbara Kingsley Shanley, PA-C
24250 Parke Ln,
Grosse Ile, MI 48138-1704
Ph: (734) 250-4206 |
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