Shelly Pendergrass, PA-C is a medicare enrolled "Physician Assistant - Medical" in Donaldsonville, Louisiana. Her current practice location is
217 Railroad Ave, Donaldsonville, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(225) 473-3931.
Shelly Pendergrass is licensed to practice in Louisiana (license number 200820) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417338724.
Provider's Profile
Full Name | Shelly Pendergrass |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 217 Railroad Ave, Donaldsonville, Louisiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shelly Pendergrass attended and graduated from in
NPI Data:
- NPI Number: 1417338724
- Provider Enumeration Date: 06/11/2015
- Last Update Date: 06/12/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shelly Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417338724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 200820 (Louisiana) | 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. Shelly Pendergrass 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 Pendergrass, PA-C 17075 Fox Ridge Dr, Prairieville, LA 70769-4834 Ph: (225) 235-6696 | Shelly Pendergrass, PA-C 217 Railroad Ave, Donaldsonville, LA 70346-2527 Ph: (225) 473-3931 |
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