Shelly Ann Minish, PA-C in Albuquerque, NM - Medicare Physician Assistant

Shelly Ann Minish, PA-C is a medicare enrolled "Physician Assistant - Medical" in Albuquerque, New Mexico. Her current practice location is 610 Broadway Blvd Ne, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 242-3991.

Shelly Ann Minish is licensed to practice in New Mexico (license number PA2016-0106) 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 1477983849.

Contact Information

	Shelly Ann Minish, PA-C
	610 Broadway Blvd Ne, Albuquerque, NM 87102-2372
	(505) 242-3991
	(505) 998-1660

Map and Direction

Provider's Profile

Full Name	Shelly Ann Minish
Gender	Female
Speciality	Physician Assistant - Medical
Location	610 Broadway Blvd Ne, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477983849
Provider Enumeration Date: 11/20/2013
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0143451062
Enrollment ID: I20140318001109

Medical Identifiers

Medical identifiers for Shelly Ann Minish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477983849	NPI	-	NPPES
PA2016-0106	Other	NM	NM MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA2016-0106 (New Mexico)	Primary
363A00000X	Physician Assistant	PA2016-0106 (New Mexico)	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. Shelly Ann Minish 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
Shelly Ann Minish, PA-C 610 Broadway Blvd Ne, Albuquerque, NM 87102-2372 Ph: (505) 242-3991	Shelly Ann Minish, PA-C 610 Broadway Blvd Ne, Albuquerque, NM 87102-2372 Ph: (505) 242-3991

Reviews and Comments

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Shelly Ann Minish, PA-C - Medicare Physician Assistant in Albuquerque, NM