Shayna Southard, is a
Case Manager/care Coordinator based in Teterboro, New Jersey. Shayna Southard is licensed to practice in * (Not Available) (license number ) and her current practice location is
100 Hollister Rd Unit 7, Teterboro, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(201) 498-9140.
NPI number for Shayna Southard is 1255914958 and her current mailing address is 100 Hollister Rd Unit 7, Teterboro, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255914958.
Healthcare Provider's Profile
| Full Name | Shayna Southard |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 100 Hollister Rd Unit 7, Teterboro, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255914958
- Provider Enumeration Date: 04/30/2021
- Last Update Date: 05/04/2021
Medical Identifiers
Medical identifiers for Shayna Southard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255914958 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Shayna Southard 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 |
|---|
Shayna Southard,
100 Hollister Rd Unit 7,
Teterboro, NJ 07608-1139
Ph: (201) 498-9140 | Shayna Southard,
100 Hollister Rd Unit 7,
Teterboro, NJ 07608-1139
Ph: (201) 498-9140 |
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