Katerina Elizabeth Shpak, PA is a medicare enrolled "Physician Assistant" physician in Charlotte, North Carolina. Her current practice location is
1001 Blythe Blvd, Ste 500, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 373-1813.
Katerina Elizabeth Shpak is licensed to practice in North Carolina (license number 0010-12794) 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 1972240356.
Physician's Profile
Full Name | Katerina Elizabeth Shpak |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1001 Blythe Blvd, Charlotte, North Carolina |
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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: 1972240356
- Provider Enumeration Date: 05/17/2022
- Last Update Date: 07/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931572542
- Enrollment ID: I20230301002995
Medical Identifiers
Medical identifiers for Katerina Elizabeth Shpak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972240356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0000X | Internal Medicine - Cardiovascular Disease | 0010-12794 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 0010-12794 (North Carolina) | Primary |
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. Katerina Elizabeth Shpak 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 |
Katerina Elizabeth Shpak, PA Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Katerina Elizabeth Shpak, PA 1001 Blythe Blvd, Ste 500, Charlotte, NC 28203-5866 Ph: (704) 373-1813 |
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