Philip S Shore, MD in Northridge, CA - Medicare Family Medicine

Philip S Shore, MD is a medicare enrolled "Family Medicine" physician in Northridge, California. His current practice location is 18546 Roscoe Blvd, Suite 230, Northridge, California. You can reach out to his office (for appointments etc.) via phone at (818) 886-1100.

Philip S Shore is licensed to practice in California (license number G071824) 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 1295750529.

Contact Information

	Philip S Shore, MD
	18546 Roscoe Blvd, Suite 230, Northridge, CA 91324-4663
	(818) 886-1100
	(818) 886-7501

Map and Direction

Physician's Profile

Full Name	Philip S Shore
Gender	Male
Speciality	Family Medicine
Location	18546 Roscoe Blvd, Northridge, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295750529
Provider Enumeration Date: 07/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0749178226
Enrollment ID: I20040306000308

Medical Identifiers

Medical identifiers for Philip S Shore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295750529	NPI	-	NPPES
00G718240	Other	CA	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G071824 (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. Philip S Shore allows following entities to bill medicare on his behalf.

Entity Name	Lakeside Medical Organization A Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015

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. Philip S Shore 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
Philip S Shore, MD 18546 Roscoe Blvd, Suite 230, Northridge, CA 91324-4663 Ph: (818) 886-1100	Philip S Shore, MD 18546 Roscoe Blvd, Suite 230, Northridge, CA 91324-4663 Ph: (818) 886-1100

Reviews and Comments

Family Medicine Doctors in Northridge, CA

Dr. Kenneth B Epstein, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8510 Balboa Blvd, Ste 150, Northridge, CA 91325 Phone: 818-637-2000 Fax: 818-654-3417
Rebecca Cho, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18406 Roscoe Blvd, Northridge, CA 91325 Phone: 818-993-4054
Vahe Mooradian, MD. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18460 Roscoe Blvd, Northridge, CA 91325 Phone: 818-734-3625
Richard V Stringham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18406 Roscoe Blvd, Northridge Family Practice Medical Group Inc, Northridge, CA 91325 Phone: 818-885-5480 Fax: 818-993-1917
Dr. Arthur Alain Karaguezian, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18546 Roscoe Blvd Ste 304, Northridge, CA 91324 Phone: 818-772-7100
Hwe-seung Lucy Whang Lee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18406 Roscoe Blvd, Northridge Family Practice Medical Group Inc, Northridge, CA 91325 Phone: 818-885-8500 Fax: 818-727-0793
Rahul Ahuja, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18406 Roscoe Blvd Fl 3, Northridge, CA 91325 Phone: 818-885-5480 Fax: 818-993-1917

Philip S Shore, MD - Medicare Family Medicine in Northridge, CA