Dr Shelly Dutt, MD in Long Beach, CA - Medicare Obstetrics & Gynecology

Dr Shelly Dutt, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Long Beach, California. Her current practice location is 3828 Schaufele Ave Ste 200, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (657) 241-8990.

Dr Shelly Dutt is licensed to practice in California (license number A142460) 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 1487065215.

Contact Information

	Dr Shelly Dutt, MD
	3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793
	(657) 241-8990
	(714) 665-4600

Map and Direction

Physician's Profile

Full Name	Dr Shelly Dutt
Gender	Female
Speciality	Obstetrics & Gynecology
Location	3828 Schaufele Ave Ste 200, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487065215
Provider Enumeration Date: 05/14/2014
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 6507140993
Enrollment ID: I20190615000255

Medical Identifiers

Medical identifiers for Dr Shelly Dutt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487065215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	A142460 (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 Shelly Dutt allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Memorialcare Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219

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 Shelly Dutt 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 Shelly Dutt, MD 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 Ph: (657) 241-8990	Dr Shelly Dutt, MD 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 Ph: (657) 241-8990

Reviews and Comments

Obstetrics & Gynecology Doctors in Long Beach, CA

Dr. Carol J Grabowski, M.D., INC Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2865 Atlantic Avenue, Suite 204, Long Beach, CA 90806 Phone: 562-595-5056 Fax: 562-595-6295
Michelle Hutchinson Reddy, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2840 Long Beach Blvd, Suite 230, Long Beach, CA 90806 Phone: 562-595-1961 Fax: 562-595-5351
Lauren Michelle Witchey, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3828 Schaufele Ave., Suite 200, Long Beach, CA 90808 Phone: 657-241-8990 Fax: 714-665-4664
Dr. Joyce A Kakkis, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6700 E Pacific Coast Hwy Ste 140, Long Beach, CA 90803 Phone: 562-799-1176 Fax: 562-493-2823
Dr. Brenda Penny Jacobs, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3550 Linden Ave, Suite #1, Long Beach, CA 90807 Phone: 562-595-7889 Fax: 562-595-1335
Dr. Laura Sech Mccracken, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1347 Park Ave, Long Beach, CA 90804 Phone: 269-330-4272 Fax: 323-226-3509
Michele Lynn Eno, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 2699 Atlantic Ave, Long Beach, CA 90806 Phone: 562-426-3333

Dr Shelly Dutt, MD - Medicare Obstetrics & Gynecology in Long Beach, CA