Shana Theobald, MD - Medicare Family Medicine in San Francisco, CA

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Shana Theobald, MD is a medicare enrolled "Family Medicine" physician in San Francisco, California. Her current practice location is 331 1st St #a, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (888) 803-3370.

Shana Theobald is licensed to practice in Hawaii (license number 19456) 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 1629399316.

Contact Information

Shana Theobald, MD
331 1st St #a,
San Francisco, CA 94105
(888) 803-3370
Not Available

Map and Direction




Physician's Profile

Full NameShana Theobald
GenderFemale
SpecialityFamily Medicine
Location331 1st St #a, San Francisco, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629399316
  • Provider Enumeration Date: 06/16/2010
  • Last Update Date: 10/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6103067566
  • Enrollment ID: I20191023002906

Medical Identifiers

Medical identifiers for Shana Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629399316NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 7901 (Alaska)Secondary
207Q00000XFamily Medicine 25MA11580200 (New Jersey)Secondary
207Q00000XFamily Medicine 160381 (Florida)Secondary
207R00000XInternal Medicine 51568 (Colorado)Secondary
207Q00000XFamily Medicine 19456 (Hawaii)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. Shana Theobald allows following entities to bill medicare on her behalf.
Entity NameManiilaq Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861698805
PECOS PAC ID: 6103881792
Enrollment ID: O20041123000372

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. Shana Theobald 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
Shana Theobald, MD
1606 9th Ave,
Honolulu, HI 96816-2804

Ph: (808) 856-1141		Shana Theobald, MD
331 1st St #a,
San Francisco, CA 94105

Ph: (888) 803-3370

Reviews and Comments


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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.