Shelby Bradshaw, PA is a medicare enrolled "Physician Assistant" in Seminole, Texas. Her current practice location is
1004 Hobbs Hwy Ste 4, Seminole, Texas. You can reach out to her office (for appointments etc.) via phone at
(432) 758-4777.
Shelby Bradshaw is licensed to practice in Texas (license number PA16156) 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 1083225023.
Provider's Profile
Full Name | Shelby Bradshaw |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1004 Hobbs Hwy Ste 4, Seminole, Texas |
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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: 1083225023
- Provider Enumeration Date: 08/13/2020
- Last Update Date: 08/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062871676
- Enrollment ID: I20230629002463
Medical Identifiers
Medical identifiers for Shelby Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083225023 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA16156 (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. Shelby Bradshaw 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 |
Shelby Bradshaw, PA 111 Las Brisas Dr, Decatur, TX 76234-5812 Ph: (940) 210-5097 | Shelby Bradshaw, PA 1004 Hobbs Hwy Ste 4, Seminole, TX 79360-3310 Ph: (432) 758-4777 |
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