Shadoe M Daniels, MPAS, PA-C is a medicare enrolled "Physician Assistant - Medical" in Callicoon, New York. His current practice location is
8881 Ny-97, Callicoon, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 333-6800.
Shadoe M Daniels is licensed to practice in New York (license number 024896) 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 1215596317.
Provider's Profile
Full Name | Shadoe M Daniels |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 8881 Ny-97, Callicoon, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215596317
- Provider Enumeration Date: 06/12/2019
- Last Update Date: 08/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688900103
- Enrollment ID: I20190722002542
Medical Identifiers
Medical identifiers for Shadoe M Daniels such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215596317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 024896 (New York) | Primary |
363AM0700X | Physician Assistant - Medical | PAC0965 (North Dakota) | Secondary |
363AM0700X | Physician Assistant - Medical | MA060726 (Pennsylvania) | Secondary |
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. Shadoe M Daniels 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 |
Shadoe M Daniels, MPAS, PA-C 8881 Ny-97, Callicoon, NY 12723 Ph: (845) 333-6800 | Shadoe M Daniels, MPAS, PA-C 8881 Ny-97, Callicoon, NY 12723 Ph: (845) 333-6800 |
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