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

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 Name	Mallory Shellenberger
Gender	Female
Speciality	Physician Assistant
Location	4009 Shi Mar Dr, Ashtabula, Ohio
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1053035956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician 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 Address	Practice 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

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