Philip Tsung Han Shie, DO is a medicare enrolled "Nuclear Medicine" physician in Fontana, California. His current practice location is
9961 Sierra Ave, Fontana, California. You can reach out to his office (for appointments etc.) via phone at
(909) 427-4602.
Philip Tsung Han Shie is licensed to practice in California (license number 20A8414) 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 1396765400.
Physician's Profile
Full Name | Philip Tsung Han Shie |
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Gender | Male |
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Speciality | Nuclear Medicine |
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Location | 9961 Sierra Ave, Fontana, California |
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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: 1396765400
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 11/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 2466359922
- Enrollment ID: I20031215000325
Medical Identifiers
Medical identifiers for Philip Tsung Han Shie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396765400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 20A8414 (California) | Secondary |
207R00000X | Internal Medicine | M0565 (Texas) | Secondary |
207U00000X | Nuclear Medicine | M0565 (Texas) | Secondary |
207U00000X | Nuclear Medicine | 20A8414 (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 Tsung Han Shie allows following entities to bill medicare on his behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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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. Philip Tsung Han Shie 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 Tsung Han Shie, DO 15746 Newton St, Hacienda Heights, CA 91745-4144 Ph: (626) 333-5652 | Philip Tsung Han Shie, DO 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-4602 |
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