Grover Gene Shipman, MD - Medicare Emergency Medicine in Mount Shasta, CA

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Grover Gene Shipman, MD is a medicare enrolled "Emergency Medicine" physician in Mount Shasta, California. His current practice location is 914 Pine Street, Mount Shasta, California. You can reach out to his office (for appointments etc.) via phone at (530) 926-6111.

Grover Gene Shipman is licensed to practice in Oregon (license number MD25595) 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 1104929017.

Contact Information

Grover Gene Shipman, MD
914 Pine Street,
Mount Shasta, CA 96067-2143
(530) 926-6111
Not Available

Map and Direction




Physician's Profile

Full NameGrover Gene Shipman
GenderMale
SpecialityEmergency Medicine
Location914 Pine Street, Mount Shasta, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104929017
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 07/02/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8921007584
  • Enrollment ID: I20061207000453

Medical Identifiers

Medical identifiers for Grover Gene Shipman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104929017NPI-NPPES
00A967380MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD25595 (Oregon)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. Grover Gene Shipman allows following entities to bill medicare on his behalf.
Entity NameSiskiyou Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1093892275
PECOS PAC ID: 1254223134
Enrollment ID: O20071213000624
Entity NameMount Eddy Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Other
Entity IdentifiersNPI Number: 1316299787
PECOS PAC ID: 7416100714
Enrollment ID: O20130118000029

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. Grover Gene Shipman 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 AddressPractice Location Address
Grover Gene Shipman, MD
P.o. Box 12259,
Westminster, CA 92685-2259

Ph: (888) 634-8405		Grover Gene Shipman, MD
914 Pine Street,
Mount Shasta, CA 96067-2143

Ph: (530) 926-6111

Reviews and Comments


Emergency Medicine Doctors in Mount Shasta, CA

Dr. Gary Allen Herfindahl, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 908 Pine St, Mount Shasta, CA 96067
Phone: 530-926-3161    Fax: 530-926-0406
Nathan Henderson Parker, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 914 Pine St, Mount Shasta, CA 96067
Phone: 530-926-9360    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.