Adam Shane Hundley, PMHNP-BC in Los Angeles, CA

Adam Shane Hundley, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Los Angeles, California. His current practice location is 453 S Spring St Ste 400, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (214) 734-7079.

Adam Shane Hundley is licensed to practice in California (license number 95030778) 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 1891536041.

Contact Information

	Adam Shane Hundley, PMHNP-BC
	453 S Spring St Ste 400, Los Angeles, CA 90013-2074
	(214) 734-7079
	Not Available

Map and Direction

Provider's Profile

Full Name	Adam Shane Hundley
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	453 S Spring St Ste 400, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891536041
Provider Enumeration Date: 06/03/2024
Last Update Date: 10/19/2024

Medicare PECOS Information:

PECOS PAC ID: 4587196530
Enrollment ID: I20241015002201

Medical Identifiers

Medical identifiers for Adam Shane Hundley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891536041	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	713755 (California)	Secondary
363L00000X	Nurse Practitioner	NP95030778 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95030778 (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. Adam Shane Hundley allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

Entity Name	Cyrus Nasserian Md Cesar Cruz Md Sambin Wang Do And Zaheib Idrees D
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326727074 PECOS PAC ID: 3870956246 Enrollment ID: O20230901000171

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. Adam Shane Hundley 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
Adam Shane Hundley, PMHNP-BC 453 S Spring St Ste 400, Los Angeles, CA 90013-2074 Ph: (214) 734-7079	Adam Shane Hundley, PMHNP-BC 453 S Spring St Ste 400, Los Angeles, CA 90013-2074 Ph: (214) 734-7079

Reviews and Comments

Nurse Practitioner Nurses in Los Angeles, CA

Prof. Antoinette Zaragoza, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 S. Fetterly Ave, Roybal Comprehensive Chc, Los Angeles, CA 90022 Phone: 323-780-2216
Maria Del Carmen Castillo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 E 1st St, Los Angeles, CA 90063 Phone: 323-262-6935 Fax: 323-262-3109
Anna Teresa Mendoza Tsay, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3913 York Blvd, Los Angeles, CA 90065 Phone: 323-532-1900
Sherry Hefner Medrano, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 S Mathews St, Los Angeles, CA 90033 Phone: 323-780-6502 Fax: 323-780-6685
Miss Martha Emily Muriel, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2829 S Grand Ave, Room # 213, Los Angeles, CA 90007 Phone: 213-744-6120 Fax: 213-749-6601
Woosin Chung, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 N Vermont Ave Fl 2, Los Angeles, CA 90027 Phone: 213-220-9190
Maria Imelda Bautista-durand, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 S Flower St, Los Angeles, CA 90007 Phone: 213-742-1000

Adam Shane Hundley, PMHNP-BC - Medicare Nurse Practitioner in Los Angeles, CA