Lea Shangraw Fox, FNP-BC is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Oakland, California. Her current practice location is
747 52nd St, Oakland, California. You can reach out to her office (for appointments etc.) via phone at
(510) 428-3885.
Lea Shangraw Fox is licensed to practice in California (license number 95011513) 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 1043873557.
Physician's Profile
| Full Name | Lea Shangraw Fox |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 747 52nd St, Oakland, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043873557
- Provider Enumeration Date: 04/19/2019
- Last Update Date: 06/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 1850628231
- Enrollment ID: I20190807003186
Medical Identifiers
Medical identifiers for Lea Shangraw Fox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043873557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 95011513 (California) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 95011513 (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. Lea Shangraw Fox allows following entities to bill medicare on her behalf.
| Entity Name | Ucsf Pediatrics Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376614016
PECOS PAC ID: 6204749112
Enrollment ID: O20031106000823 |
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| Entity Name | University Of California San Francisco |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897 |
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| Entity Name | Ucsf Dept Of Surgery |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477627537
PECOS PAC ID: 7719886373
Enrollment ID: O20040102000839 |
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| Entity Name | Ucsf Medical Group Business Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513 |
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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. Lea Shangraw Fox 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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Lea Shangraw Fox, FNP-BC
3254 Fairview Ave,
Alameda, CA 94501-1704
Ph: () - | Lea Shangraw Fox, FNP-BC
747 52nd St,
Oakland, CA 94609-1809
Ph: (510) 428-3885 |
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