Dr Shana J Rush, PHD CCC-SLP is a
Clinical Neuropsychologist based in Grand Rapids, Michigan. Dr Shana J Rush is licensed to practice in Michigan (license number 6301013545) and her current practice location is
412 Plymouth Ave Ne, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 780-0590.
NPI number for Dr Shana J Rush is 1306171814 and her current mailing address is 412 Plymouth Ave Ne, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306171814.
Healthcare Provider's Profile
Full Name | Dr Shana J Rush |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 412 Plymouth Ave Ne, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306171814
- Provider Enumeration Date: 10/16/2009
- Last Update Date: 05/12/2023
Medical Identifiers
Medical identifiers for Dr Shana J Rush such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306171814 | NPI | - | NPPES |
6301013545 | Other | | COMMERCIAL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 6301013545 (Michigan) | Secondary |
103G00000X | Clinical Neuropsychologist | 6301013545 (Michigan) | 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 Shana J Rush 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 Shana J Rush, PHD CCC-SLP 412 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 Ph: (616) 780-0590 | Dr Shana J Rush, PHD CCC-SLP 412 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 Ph: (616) 780-0590 |
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