Mr Noah Isaac Stashower-marcus, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in San Diego, California. His current practice location is
5060 Shoreham Pl Ste 230&330, San Diego, California. You can reach out to his office (for appointments etc.) via phone at
(858) 999-1897.
Mr Noah Isaac Stashower-marcus is licensed to practice in California (license number 95032614) 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 1710559588.
Healthcare Provider's Profile
| Full Name | Mr Noah Isaac Stashower-marcus |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 5060 Shoreham Pl Ste 230&330, San Diego, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710559588
- Provider Enumeration Date: 07/12/2021
- Last Update Date: 10/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355875139
- Enrollment ID: I20241115002639
Medical Identifiers
Medical identifiers for Mr Noah Isaac Stashower-marcus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710559588 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95032614 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Noah Isaac Stashower-marcus allows following entities to bill medicare on his behalf.
| Entity Name | Sokyahealth Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942970330
PECOS PAC ID: 8628463015
Enrollment ID: O20220322001499 |
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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. Mr Noah Isaac Stashower-marcus 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 |
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Mr Noah Isaac Stashower-marcus, NP
5060 Shoreham Pl Ste 230&330,
San Diego, CA 92122-5903
Ph: (858) 999-1897 | Mr Noah Isaac Stashower-marcus, NP
5060 Shoreham Pl Ste 230&330,
San Diego, CA 92122-5903
Ph: (858) 999-1897 |
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