Sheila R Mane Md Pc
Non-pharmacy Dispensing Site
1730 E Beverly Ave, Kingman
Arizona, 86409-3500
928-681-3960 928-869-0067
Sheila R Mane Md Pc is a Non-pharmacy Dispensing Site in Kingman, Arizona. It is located at 1730 E Beverly Ave, Kingman and it's customer support contact number is 928-681-3960. The authorized person of Sheila R Mane Md Pc is Direndia Shackelford who is Managed Care Specialist of the pharmacy and his contact number is 800-654-0889. Active license number of Sheila R Mane Md Pc is 27651 for Non-pharmacy Dispensing Site in Arizona. Sheila R Mane Md Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Sheila R Mane Md Pc is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Sheila R Mane Md Pc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Sheila R Mane Md Pc |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 1730 E Beverly Ave, Kingman,
Arizona, 86409-3500 |
| Phone: | 928-681-3960 |
| Fax: | 928-869-0067 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Direndia Shackelford |
| Position: | Managed Care Specialist |
| Contact Number: | 800-654-0889 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1366512444 |
| NPI Enumeration Date: | 08 Nov, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sheila R Mane Md Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 27651 | Arizona | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 474742 | Medicaid | Arizona | |
| 0352815 | Other | | Other Id Number-commercial Number |
Medicare Enrollment:
Sheila R Mane Md Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2466517206 | O20090211000634 | Sheila R Mane Md Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1730 E Beverly Ave,
Kingman, Arizona |
| Zip: | 86409-3500 |
| Phone Number: | -- |
Patients can reach Sheila R Mane Md Pc at
1730 E Beverly Ave, Kingman, Arizona or can
call on customer care at 928-681-3960.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.