Shawn D Wanderaas, DC - Chiropractor in Southaven, MS

Shawn D Wanderaas, DC is a Chiropractor based in Southaven, Mississippi. Shawn D Wanderaas is licensed to practice in Mississippi (license number 1201) and his current practice location is 1134 Church Road, Southaven, Mississippi. He can be reached at his office (for appointments etc.) via phone at (662) 393-4848.

NPI number for Shawn D Wanderaas is 1669790523 and his current mailing address is 1134 Church Road W, Southaven, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669790523.

Contact Information

Shawn D Wanderaas, DC
1134 Church Road,
Southaven, MS 38671
(662) 393-4848
Not Available



Healthcare Provider's Profile

Full NameShawn D Wanderaas
GenderMale
SpecialityChiropractor
Location1134 Church Road, Southaven, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669790523
  • Provider Enumeration Date: 05/17/2010
  • Last Update Date: 03/05/2013

Medical Identifiers

Medical identifiers for Shawn D Wanderaas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669790523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 1201 (Mississippi)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. Shawn D Wanderaas 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 AddressPractice Location Address
Shawn D Wanderaas, DC
1134 Church Road W,
Southaven, MS 38671

Ph: (662) 393-4848
Shawn D Wanderaas, DC
1134 Church Road,
Southaven, MS 38671

Ph: (662) 393-4848

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› Verified 3 days ago


Chiropractor in Southaven, MS

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Dr. Tyler Lane Qualls, D.C.
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Dr. David Michael Bakeris, DC
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Medicare: Not Enrolled in Medicare
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Phone: 662-349-3499    
Dr. David Chadwick Hall Ii, D.C (CHIROPRACTOR)
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Medicare: May Accept Medicare Assignments
Practice Location: 1134 Church Rd W, Southaven, MS 38671
Phone: 662-393-4848    Fax: 662-393-4858
Healthsource Of Southaven
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Medicare: Not Enrolled in Medicare
Practice Location: 5740 Getwell Rd, Building 4a, Southaven, MS 38672
Phone: 662-671-5255    

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