Shaina Marissa Willen, MD in Sacramento, CA

Shaina Marissa Willen, MD is a medicare enrolled "Pediatrics - Pediatric Pulmonology" physician in Sacramento, California. Her current practice location is 2521 Stockton Blvd Fl 3, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (916) 734-3112.

Shaina Marissa Willen is licensed to practice in California (license number A159074) 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 1730479627.

Contact Information

	Shaina Marissa Willen, MD
	2521 Stockton Blvd Fl 3, Sacramento, CA 95817-2207
	(916) 734-3112
	(919) 681-5825

Map and Direction

Physician's Profile

Full Name	Shaina Marissa Willen
Gender	Female
Speciality	Pediatrics - Pediatric Pulmonology
Location	2521 Stockton Blvd Fl 3, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730479627
Provider Enumeration Date: 04/12/2011
Last Update Date: 01/06/2023

Medicare PECOS Information:

PECOS PAC ID: 2062637101
Enrollment ID: I20191120001411

Medical Identifiers

Medical identifiers for Shaina Marissa Willen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730479627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A159074 (California)	Secondary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	A159074 (California)	Secondary
2080P0214X	Pediatrics - Pediatric Pulmonology	A159074 (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. Shaina Marissa Willen allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The Univ Of Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892

Entity Name	Tahoe Carson Valley Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834

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. Shaina Marissa Willen 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
Shaina Marissa Willen, MD 2516 Stockton Blvd, Sacramento, CA 95817-2208 Ph: (916) 734-3593	Shaina Marissa Willen, MD 2521 Stockton Blvd Fl 3, Sacramento, CA 95817-2207 Ph: (916) 734-3112

Reviews and Comments

Pediatrics Doctors in Sacramento, CA

Lena Claire Van Der List, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2516 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-2428
Dr. Mary Beth J Steinfeld, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2825 50th St, Uc Davis Department Of Pediatrics, Sacramento, CA 95817 Phone: 916-703-0271 Fax: 916-703-0243
Lindalee G Huston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5301 F St, #220, Sacramento, CA 95819 Phone: 916-455-8000 Fax: 916-733-6088
Alison My Lam, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2516 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-3665
Marcela Lau, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-5000
Donald Morley Null, Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 Stockton Blvd, Nicu, Sacramento, CA 95817 Phone: 916-703-3050 Fax: 916-703-3055
Dr. Elizabeth Partridge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2516 Stockton Blvd, Sacramento, CA 95817 Phone: 510-428-4337

Shaina Marissa Willen, MD - Medicare Pediatrics in Sacramento, CA