Dr Lei Shi, MD, PHD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Woodland Hills, California. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
5601 De Soto Ave, Woodland Hills, California. You can reach out to his office (for appointments etc.) via phone at
(312) 659-0968.
Dr Lei Shi is licensed to practice in California (license number A129277) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417187592.
Physician's Profile
| Full Name | Dr Lei Shi |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 25 Years |
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| Location | 5601 De Soto Ave, Woodland Hills, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lei Shi graduated from medical school in 1999
NPI Data:
- NPI Number: 1417187592
- Provider Enumeration Date: 07/22/2009
- Last Update Date: 11/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 2264740711
- Enrollment ID: I20151001002486
Medical Identifiers
Medical identifiers for Dr Lei Shi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417187592 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | A129277 (California) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | A129277 (California) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | A129277 (California) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern California Permanente Medical Group | 6002729175 | 8172 |
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 Lei Shi allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. Dr Lei Shi 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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Dr Lei Shi, MD, PHD
5601 De Soto Ave,
Woodland Hills, CA 91367-6701
Ph: (312) 659-0968 | Dr Lei Shi, MD, PHD
5601 De Soto Ave,
Woodland Hills, CA 91367-6701
Ph: (312) 659-0968 |
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