Alisha Shim, CRNP in Columbia, MD - Medicare Nurse Practitioner

Alisha Shim, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Columbia, Maryland. Her current practice location is 5525 Twin Knolls Rd, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 992-9149.

Alisha Shim is licensed to practice in Maryland (license number R205285) 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 1962021766.

Contact Information

	Alisha Shim, CRNP
	5525 Twin Knolls Rd, Columbia, MD 21045-3266
	(410) 992-9149
	Not Available

Map and Direction

Provider's Profile

Full Name	Alisha Shim
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5525 Twin Knolls Rd, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962021766
Provider Enumeration Date: 04/11/2020
Last Update Date: 05/29/2024

Medicare PECOS Information:

PECOS PAC ID: 2769864891
Enrollment ID: I20220805000148

Medical Identifiers

Medical identifiers for Alisha Shim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962021766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R205285 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R205285 (Maryland)	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. Alisha Shim allows following entities to bill medicare on her behalf.

Entity Name	Charito Quintero-howard Child And Adult Psychiatry
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285044875 PECOS PAC ID: 6901125368 Enrollment ID: O20150506001150

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. Alisha Shim 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
Alisha Shim, CRNP 5525 Twin Knolls Rd Ste 327, Columbia, MD 21045-3207 Ph: (410) 992-9149	Alisha Shim, CRNP 5525 Twin Knolls Rd, Columbia, MD 21045-3266 Ph: (410) 992-9149

Reviews and Comments

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Mrs. Wendy Strong, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5500 Knoll North Dr, Columbia, MD 21045 Phone: 301-317-6575

Alisha Shim, CRNP - Medicare Nurse Practitioner in Columbia, MD