Mrs Shala Renee Holman, PA-C - Physician Assistant in Andover, KS

Mrs Shala Renee Holman, PA-C is a Physician Assistant based in Andover, Kansas. Mrs Shala Renee Holman is licensed to practice in Kansas (license number 1501127) and her current practice location is 1124 W. 21st Street, Andover, Kansas. She can be reached at her office (for appointments etc.) via phone at (316) 300-4000.

NPI number for Mrs Shala Renee Holman is 1275644650 and her current mailing address is 1124 W. 21st Street, Andover, Kansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275644650.

Contact Information

Mrs Shala Renee Holman, PA-C
1124 W. 21st Street,
Andover, KS 67002
(316) 300-4000
(316) 300-4040



Provider's Profile

Full NameMrs Shala Renee Holman
GenderFemale
SpecialityPhysician Assistant
Location1124 W. 21st Street, Andover, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275644650
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 12/30/2008

Medical Identifiers

Medical identifiers for Mrs Shala Renee Holman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275644650NPI-NPPES
427052OtherKSBCBS
200414050BMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1073264 (Kansas)Secondary
363A00000XPhysician Assistant 1501127 (Kansas)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. Mrs Shala Renee Holman 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
Mrs Shala Renee Holman, PA-C
1124 W. 21st Street,
Andover, KS 67002

Ph: (316) 300-4000
Mrs Shala Renee Holman, PA-C
1124 W. 21st Street,
Andover, KS 67002

Ph: (316) 300-4000

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› Verified 1 days ago


Physician Assistant Nurses in Andover, KS

Christopher Ryan Lemons, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 308 E Central Ave, Andover, KS 67002
Phone: 316-993-1774    
Emi Hayashi, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1118 E Us Highway 54, Andover, KS 67002
Phone: 316-655-7311    
Jill L Johnson-smith, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 612 N Andover Rd, Andover, KS 67002
Phone: 316-733-6618    Fax: 316-733-5299
Jamie Marie Geier, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 308 E Central Ave, Andover, KS 67002
Phone: 316-733-1331    Fax: 316-677-2747
Mrs. Rachel Ann Ewing, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 105 S Andover Rd, Suite D, Andover, KS 67002
Phone: 316-733-5120    Fax: 316-733-1280
Mckay Alexander Brumfield, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1731 N Basswood Ct, Andover, KS 67002
Phone: 316-573-3504    

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