Gary N. Shields Dpm Llc is a
Podiatrist based in Litchfield, Connecticut. Gary N. Shields Dpm Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
340 Bantam Rd, Suite 1-b, Litchfield, Connecticut. It can be reached at their office (for appointments etc.) via phone at
(860) 567-1600.
NPI number for Gary N. Shields Dpm Llc is 1477729168 and their current mailing address is Po Box 741240, Orange City, Florida. Gary N. Shields Dpm Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1477729168.
Healthcare Provider's Profile
| Full Name | Gary N. Shields Dpm Llc |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 340 Bantam Rd, Litchfield, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477729168
- Provider Enumeration Date: 05/02/2008
- Last Update Date: 05/05/2009
Medical Identifiers
Medical identifiers for Gary N. Shields Dpm Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477729168 | NPI | - | NPPES |
| 041318600 | Medicaid | FL | |
| 4624525 | Other | CT | AETNA |
| 6145090001 | Other | CT | DMEPOS |
| 6240129 | Other | CT | CIGNA |
| 614459 | Other | CT | CONNECTICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (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. Gary N. Shields Dpm Llc 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 |
|---|
Gary N. Shields Dpm Llc
Po Box 741240,
Orange City, FL 32774-1240
Ph: (386) 774-5211 | Gary N. Shields Dpm Llc
340 Bantam Rd, Suite 1-b,
Litchfield, CT 06759-3318
Ph: (860) 567-1600 |
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