Dr Anthony S Shin, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Grand Terrace, California. His current practice location is
12000 Mount Vernon Ave, Grand Terrace, California. You can reach out to his office (for appointments etc.) via phone at
(951) 273-0136.
Dr Anthony S Shin is licensed to practice in California (license number A42601) 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 1982628756.
Physician's Profile
| Full Name | Dr Anthony S Shin |
|---|
| Gender | Male |
|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
|---|
| Location | 12000 Mount Vernon Ave, Grand Terrace, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1982628756
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 05/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 6608832035
- Enrollment ID: I20110228000453
Medical Identifiers
Medical identifiers for Dr Anthony S Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982628756 | NPI | - | NPPES |
| 00A426010 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A42601 (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. Dr Anthony S Shin allows following entities to bill medicare on his behalf.
| Entity Name | Mission City Community Network, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1710102009
PECOS PAC ID: 1658264684
Enrollment ID: O20040204000544 |
|---|
| Entity Name | Health Service Alliance |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1801307368
PECOS PAC ID: 4587642467
Enrollment ID: O20040708000369 |
|---|
| Entity Name | Foothills Psychological Services Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1336121888
PECOS PAC ID: 9436157534
Enrollment ID: O20100318000835 |
|---|
| Entity Name | Foothills Psychological Services Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1336121888
PECOS PAC ID: 9436157534
Enrollment ID: O20100414000905 |
|---|
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. Dr Anthony S Shin 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 |
|---|
Dr Anthony S Shin, MD
Po Box 946,
Loma Linda, CA 92354-0946
Ph: (951) 273-0136 | Dr Anthony S Shin, MD
12000 Mount Vernon Ave,
Grand Terrace, CA 92313-5174
Ph: (951) 273-0136 |
Reviews and Comments