Mallory Shellenberger, PA-C - Medicare Physician Assistant in Ashtabula, OH

Mallory Shellenberger, PA-C is a medicare enrolled "Physician Assistant" in Ashtabula, Ohio. Her current practice location is 4009 Shi Mar Dr, Ashtabula, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 813-1579.

Mallory Shellenberger is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053035956.

Contact Information

Mallory Shellenberger, PA-C
4009 Shi Mar Dr,
Ashtabula, OH 44004-4640
(440) 813-1579
Not Available



Provider's Profile

Full NameMallory Shellenberger
GenderFemale
SpecialityPhysician Assistant
Location4009 Shi Mar Dr, Ashtabula, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053035956
  • Provider Enumeration Date: 10/04/2022
  • Last Update Date: 10/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0446627939
  • Enrollment ID: I20221114002154

Medical Identifiers

Medical identifiers for Mallory Shellenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053035956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (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. Mallory Shellenberger is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mallory Shellenberger, PA-C
4009 Shi Mar Dr,
Ashtabula, OH 44004-4640

Ph: (440) 813-1579
Mallory Shellenberger, PA-C
4009 Shi Mar Dr,
Ashtabula, OH 44004-4640

Ph: (440) 813-1579

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Physician Assistant Nurses in Ashtabula, OH

Michell Mcdiffett, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4200 Park Ave, Ashtabula, OH 44004
Phone: 216-280-4363    
Mrs. Samantha Rae Meabon, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 416 W 27th St, Ashtabula, OH 44004
Phone: 440-997-5427    
Joseph Michael Delatore, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2420 Lake Ave, Ashtabula, OH 44004
Phone: 440-997-2262    
Beth Zanko, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2422 Lake Ave, Ashtabula, OH 44004
Phone: 440-997-6731    
Tatyana N Kuvshinikov, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3315 N Ridge Rd E Ste 700a, Ashtabula, OH 44004
Phone: 440-484-2130    
Andrea M Swartout,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4211 Birchwood Ave, Ashtabula, OH 44004
Phone: 440-993-1267    

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