Nicole Christine Shattuck, DO - Medicare Emergency Medicine in Eureka, CA

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Nicole Christine Shattuck, DO is a medicare enrolled "Emergency Medicine" physician in Eureka, California. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2012 and has 12 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Providence Medical Foundation and her current practice location is 2700 Dolbeer St, Eureka, California. You can reach out to her office (for appointments etc.) via phone at (707) 445-8121.

Nicole Christine Shattuck is licensed to practice in California (license number 20A16609) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437415692.

Contact Information

Nicole Christine Shattuck, DO
2700 Dolbeer St,
Eureka, CA 95501-4736
(707) 445-8121
Not Available

Map and Direction




Physician's Profile

Full NameNicole Christine Shattuck
GenderFemale
SpecialityEmergency Medicine
Experience12 Years
Location2700 Dolbeer St, Eureka, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Christine Shattuck attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2012
  NPI Data:
  • NPI Number: 1437415692
  • Provider Enumeration Date: 04/02/2012
  • Last Update Date: 09/06/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5193033801
  • Enrollment ID: I20180911000940

Medical Identifiers

Medical identifiers for Nicole Christine Shattuck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437415692NPI-NPPES
OS14010OtherFLSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine OS14010 (Florida)Secondary
207P00000XEmergency Medicine 20A16609 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph HospitalEureka, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051312

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. Nicole Christine Shattuck allows following entities to bill medicare on her behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

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. Nicole Christine Shattuck 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
Nicole Christine Shattuck, DO
2700 Dolbeer St,
Eureka, CA 95501-4736

Ph: () -		Nicole Christine Shattuck, DO
2700 Dolbeer St,
Eureka, CA 95501-4736

Ph: (707) 445-8121

Reviews and Comments


Emergency Medicine Doctors in Eureka, CA

Eric Gerdes, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2700 Dolbeer St, Eureka, CA 95501
Phone: 707-269-4250    
Paul Windham, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1915 Harrison Ave Ste A, Eureka, CA 95501
Phone: 707-497-6342    Fax: 707-497-6234
Brooke Morrison, PA-C
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2700 Dolbeer St, Eureka, CA 95501
Phone: 503-203-0781    
Marcelle Mahan, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2700 Dolbeer St, Eureka, CA 95501
Phone: 707-269-4250    
Joseph B. Burkes, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 714 F St, Eureka, CA 95501
Phone: 707-442-5335    Fax: 707-442-1452
Dr. Deonnae Lopez, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2700 Dolbeer St, Eureka, CA 95501
Phone: 707-269-4250    
Alan Morden, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2700 Dolbeer St, Eureka, CA 95501
Phone: 707-445-8121    Fax: 707-269-3753

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.