Dr Shane Thomas Hunt, EDD is a
Psychologist - School based in Tonopah, Arizona. Dr Shane Thomas Hunt is licensed to practice in Arizona (license number 3348) and his current practice location is
38201 W Indian School Rd, Tonopah, Arizona. He can be reached at his office (for appointments etc.) via phone at
(623) 386-5688.
NPI number for Dr Shane Thomas Hunt is 1700912623 and his current mailing address is 19243 W Lewis Ave, Buckeye, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700912623.
Healthcare Provider's Profile
| Full Name | Dr Shane Thomas Hunt |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 38201 W Indian School Rd, Tonopah, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700912623
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Shane Thomas Hunt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700912623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 3348 (Arizona) | Primary |
| 103TC1900X | Psychologist - Counseling | 3348 (Arizona) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 3348 (Arizona) | Primary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 3348 (Arizona) | Primary |
| 103TS0200X | Psychologist - School | 3348 (Arizona) | 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. Dr Shane Thomas Hunt 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 |
|---|
Dr Shane Thomas Hunt, EDD
19243 W Lewis Ave,
Buckeye, AZ 85396-5762
Ph: (623) 853-1918 | Dr Shane Thomas Hunt, EDD
38201 W Indian School Rd,
Tonopah, AZ 85354-7301
Ph: (623) 386-5688 |
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