Shane Mitchell, PA is a
Military Health Care Provider based in Aberdeen Proving Ground, Maryland. Shane Mitchell is licensed to practice in * (Not Available) (license number ) and his current practice location is
6455 Machine St, Aberdeen Proving Ground, Maryland. He can be reached at his office (for appointments etc.) via phone at
(410) 278-1976.
NPI number for Shane Mitchell is 1609541887 and his current mailing address is Usameddac, 2480 Llewellyn Ave, Fort George G Meade, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609541887.
Provider's Profile
Full Name | Shane Mitchell |
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Gender | Male |
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Speciality | Military Health Care Provider |
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Location | 6455 Machine St, Aberdeen Proving Ground, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609541887
- Provider Enumeration Date: 08/10/2021
- Last Update Date: 11/08/2024
Medical Identifiers
Medical identifiers for Shane Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609541887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
171000000X | Military Health Care Provider | (* (Not Available)) | 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. Shane Mitchell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shane Mitchell, PA Usameddac, 2480 Llewellyn Ave, Fort George G Meade, MD 20755 Ph: (410) 278-1976 | Shane Mitchell, PA 6455 Machine St, Aberdeen Proving Ground, MD 21005-5213 Ph: (410) 278-1976 |
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