Juyeon Shin, in Fullerton, CA - Medicare Nurse Practitioner

Juyeon Shin, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fullerton, California. Her current practice location is 2501 E Chapman Ave Ste 106, Fullerton, California. You can reach out to her office (for appointments etc.) via phone at (805) 886-5200.

Juyeon Shin is licensed to practice in California (license number NP95019985) 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 1093171696.

Contact Information

	Juyeon Shin,
	2501 E Chapman Ave Ste 106, Fullerton, CA 92831-3135
	(805) 886-5200
	Not Available

Map and Direction

Provider's Profile

Full Name	Juyeon Shin
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2501 E Chapman Ave Ste 106, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093171696
Provider Enumeration Date: 01/12/2016
Last Update Date: 11/01/2023

Medicare PECOS Information:

PECOS PAC ID: 2466742408
Enrollment ID: I20160603001725

Medical Identifiers

Medical identifiers for Juyeon Shin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093171696	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AC001754 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024173071 (Virginia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP95019985 (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. Juyeon Shin allows following entities to bill medicare on her behalf.

Entity Name	Key Point Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497760847 PECOS PAC ID: 1052307774 Enrollment ID: O20040420001514

Entity Name	Harwood Behavioral Health Partners, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225544810 PECOS PAC ID: 8527378397 Enrollment ID: O20151106000246

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. Juyeon Shin 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
Juyeon Shin, 2501 E Chapman Ave Ste 106, Fullerton, CA 92831-3135 Ph: (805) 886-5200	Juyeon Shin, 2501 E Chapman Ave Ste 106, Fullerton, CA 92831-3135 Ph: (805) 886-5200

Reviews and Comments

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Juyeon Shin, - Medicare Nurse Practitioner in Fullerton, CA