Dr Shawn Moreta Humphries, MD is a medicare enrolled "Emergency Medicine" physician in Cut Off, Louisiana. Her current practice location is
200 W 134th Pl, Cut Off, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(985) 632-8256.
Dr Shawn Moreta Humphries is licensed to practice in Louisiana (license number 06675R) 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 1649376401.
Physician's Profile
Full Name | Dr Shawn Moreta Humphries |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 200 W 134th Pl, Cut Off, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649376401
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9537161856
- Enrollment ID: I20070215000108
Medical Identifiers
Medical identifiers for Dr Shawn Moreta Humphries such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649376401 | NPI | - | NPPES |
1355739 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 06675R (Louisiana) | 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 Shawn Moreta Humphries allows following entities to bill medicare on her behalf.
Entity Name | Lafourche Parish Hospital Service District No 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831260793 PECOS PAC ID: 2264342229 Enrollment ID: O20040604000183 |
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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 Shawn Moreta Humphries 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 Shawn Moreta Humphries, MD 4104 Chateau Blvd, Condo C, Kenner, LA 70065-5721 Ph: (504) 464-7557 | Dr Shawn Moreta Humphries, MD 200 W 134th Pl, Cut Off, LA 70345-4143 Ph: (985) 632-8256 |
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