Matthew M Shortle, PA - Medicare Physician Assistant in Albany, NY

Matthew M Shortle, PA is a medicare enrolled "Physician Assistant" in Albany, New York. His current practice location is 315 S Manning Blvd, @ St Peter's Hospital Er Dept., Albany, New York. You can reach out to his office (for appointments etc.) via phone at (518) 383-5450.

Matthew M Shortle is licensed to practice in New York (license number P65457) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235392663.

Contact Information

Matthew M Shortle, PA
315 S Manning Blvd, @ St Peter's Hospital Er Dept.,
Albany, NY 12208-1707
(518) 383-5450
(518) 383-4223



Provider's Profile

Full NameMatthew M Shortle
GenderMale
SpecialityPhysician Assistant
Location315 S Manning Blvd, Albany, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235392663
  • Provider Enumeration Date: 07/07/2008
  • Last Update Date: 10/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517027550
  • Enrollment ID: I20081120000034

Medical Identifiers

Medical identifiers for Matthew M Shortle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235392663NPI-NPPES
P65457OtherNYTEMP NYS LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9118121 (Florida)Secondary
363A00000XPhysician Assistant P65457 (New York)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. Matthew M Shortle 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
Matthew M Shortle, PA
Po Box 768,
Clifton Park, NY 12065-0768

Ph: (518) 383-5450
Matthew M Shortle, PA
315 S Manning Blvd, @ St Peter's Hospital Er Dept.,
Albany, NY 12208-1707

Ph: (518) 383-5450

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Physician Assistant Nurses in Albany, NY

Sean William Leahy, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1367 Washington Ave Ste 200, Albany, NY 12206
Phone: 518-489-2999    Fax: 518-489-5933
Brianna Samson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 47 New Scotland Ave, Albany, NY 12208
Phone: 518-262-5332    
Pavel Voronko, MS,PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 121 Everett Rd, Albany, NY 12205
Phone: 518-453-9088    Fax: 518-453-9088
Elizabeth Howard Mahan, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5 Palisades Dr Ste 100, Albany, NY 12205
Phone: 518-438-4496    
Nicoletta Serafina Pacilli, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 315 S Manning Blvd, Albany, NY 12208
Phone: 518-525-5634    
Mrs. Lynn Ann Craft, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 315 S Manning Blvd, Albany, NY 12208
Phone: 518-525-5776    Fax: 518-525-6815
Fani Gruber, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 600 Northern Blvd, Albany, NY 12204
Phone: 518-471-3221    

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