Taylor Shane Shepherd, PA-C is a medicare enrolled "Physician Assistant" in Vale, Oregon. His current practice location is
789 Washington St W, Vale, Oregon. You can reach out to his office (for appointments etc.) via phone at
(801) 859-2595.
Taylor Shane Shepherd is licensed to practice in * (Not Available) (license number ) 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 1043909955.
Provider's Profile
Full Name | Taylor Shane Shepherd |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 789 Washington St W, Vale, Oregon |
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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: 1043909955
- Provider Enumeration Date: 05/05/2023
- Last Update Date: 01/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 6709224165
- Enrollment ID: I20240403003944
Medical Identifiers
Medical identifiers for Taylor Shane Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043909955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (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. Taylor Shane Shepherd 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 |
Taylor Shane Shepherd, PA-C 1441 Ne 10th Ave, Payette, ID 83661-5420 Ph: (086) 429-3762 | Taylor Shane Shepherd, PA-C 789 Washington St W, Vale, OR 97918-1147 Ph: (801) 859-2595 |
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