Mr Matthew Shane Owens, MA is a
Community/behavioral Health based in Flint, Michigan. Mr Matthew Shane Owens is licensed to practice in Michigan (license number 6301011431) and his current practice location is
420 W 5th Ave, Flint, Michigan. He can be reached at his office (for appointments etc.) via phone at
(248) 678-4749.
NPI number for Mr Matthew Shane Owens is 1497883979 and his current mailing address is 19705 Vine Dr, Macomb, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497883979.
Healthcare Provider's Profile
Full Name | Mr Matthew Shane Owens |
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Gender | Male |
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Speciality | Community/behavioral Health |
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Location | 420 W 5th Ave, Flint, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497883979
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 09/09/2021
Medical Identifiers
Medical identifiers for Mr Matthew Shane Owens such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497883979 | NPI | - | NPPES |
386004868 | Other | MI | FEDERAL TAX ID |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 6361005054 (Michigan) | Secondary |
251S00000X | Community/behavioral Health | 6301011431 (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. Mr Matthew Shane Owens 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 |
Mr Matthew Shane Owens, MA 19705 Vine Dr, Macomb, MI 48044-6518 Ph: (248) 678-4749 | Mr Matthew Shane Owens, MA 420 W 5th Ave, Flint, MI 48503-2445 Ph: (248) 678-4749 |
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