Ms Chondra Elise Shanks, PA-C in San Bernardino, CA

Ms Chondra Elise Shanks, PA-C is a medicare enrolled "Physician Assistant" in San Bernardino, California. Her current practice location is 665 N D St, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (909) 708-8158.

Ms Chondra Elise Shanks is licensed to practice in California (license number 21231) 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 1467762179.

Contact Information

	Ms Chondra Elise Shanks, PA-C
	665 N D St, San Bernardino, CA 92401-1109
	(909) 708-8158
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Chondra Elise Shanks
Gender	Female
Speciality	Physician Assistant
Location	665 N D St, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467762179
Provider Enumeration Date: 10/15/2010
Last Update Date: 05/08/2013

Medicare PECOS Information:

PECOS PAC ID: 5193914570
Enrollment ID: I20110118000025

Medical Identifiers

Medical identifiers for Ms Chondra Elise Shanks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467762179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	21231 (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. Ms Chondra Elise Shanks 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 Chondra Elise Shanks, PA-C 665 N D St, San Bernardino, CA 92401-1109 Ph: (909) 708-8158	Ms Chondra Elise Shanks, PA-C 665 N D St, San Bernardino, CA 92401-1109 Ph: (909) 708-8158

Reviews and Comments

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Ms Chondra Elise Shanks, PA-C - Medicare Physician Assistant in San Bernardino, CA