Shaheena Gazipura, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Anaheim, California. Her current practice location is
421 N Brookhurst St Ste 119, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at
(714) 361-0898.
Shaheena Gazipura is licensed to practice in California (license number NPF95026845) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174971048.
Healthcare Provider's Profile
| Full Name | Shaheena Gazipura |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 421 N Brookhurst St Ste 119, Anaheim, 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: 1174971048
- Provider Enumeration Date: 06/01/2016
- Last Update Date: 06/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981139060
- Enrollment ID: I20241126002908
Medical Identifiers
Medical identifiers for Shaheena Gazipura such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174971048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 95221003 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NPF95026845 (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. Shaheena Gazipura allows following entities to bill medicare on her behalf.
| Entity Name | Medard Sison Np, A Professional Nursing Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528693579
PECOS PAC ID: 5294151635
Enrollment ID: O20200817002415 |
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| Entity Name | Bje Esterman P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780435628
PECOS PAC ID: 2062951205
Enrollment ID: O20240830003581 |
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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. Shaheena Gazipura 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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Shaheena Gazipura,
421 N Brookhurst St Ste 119,
Anaheim, CA 92801-5618
Ph: (714) 361-0898 | Shaheena Gazipura,
421 N Brookhurst St Ste 119,
Anaheim, CA 92801-5618
Ph: (714) 361-0898 |
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