Look up the most recent NPI and PECOS records

Megan Shellock

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

Based on the most recent information from CMS, provider Megan Shellock is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1083328116
Provider Type
Individual
Full Name
Shellock, Megan
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
1/12/2023
Last Updated
1/12/2023

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

36 Sherbrooke Dr, Smithtown, NY 11787-4704

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Megan Shellock

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bello, Francelli Marie

Lavallee, David Norman

Sher, Maykl

Rasile, Jacqueline Marie

Dweck, Virginia Sophia

Perazzo, Marina

Frasca, Francesca Marie

Mishiyeva, Dina

Lastella, Megan Marie

Sirisena, Shalini