Mrs Cathleen Erin Shaffer, FNP is a medicare enrolled "Nurse Practitioner - Family" in Julian, California. Her current practice location is
2712 Washington St, Julian, California. You can reach out to her office (for appointments etc.) via phone at
(619) 277-6183.
Mrs Cathleen Erin Shaffer is licensed to practice in California (license number 95008499) 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 1720587561.
Provider's Profile
| Full Name | Mrs Cathleen Erin Shaffer |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2712 Washington St, Julian, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720587561
- Provider Enumeration Date: 02/07/2018
- Last Update Date: 05/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 4880936111
- Enrollment ID: I20190507000180
Medical Identifiers
Medical identifiers for Mrs Cathleen Erin Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720587561 | NPI | - | NPPES |
| 95008499 | Other | CA | BOARD OF REGISTERED NURSES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 95008499 (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. Mrs Cathleen Erin Shaffer allows following entities to bill medicare on her behalf.
| Entity Name | Borrego Community Health Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134144165
PECOS PAC ID: 1759299944
Enrollment ID: O20040122000961 |
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| Entity Name | Molina Healthcare Of California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194811760
PECOS PAC ID: 7517957608
Enrollment ID: O20061101000348 |
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| Entity Name | Arch Health Partners Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649500141
PECOS PAC ID: 9931239027
Enrollment ID: O20100616000715 |
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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. Mrs Cathleen Erin Shaffer 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 |
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Mrs Cathleen Erin Shaffer, FNP
Po Box 1911,
Lakeside, CA 92040-0919
Ph: () - | Mrs Cathleen Erin Shaffer, FNP
2712 Washington St,
Julian, CA 92036
Ph: (619) 277-6183 |
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