Ms Shelli Dawn Chittum, NP in Stanford, CA - Medicare Nurse Practitioner

Ms Shelli Dawn Chittum, NP is a medicare enrolled "Nurse Practitioner" in Stanford, California. Her current practice location is 300 Pasteur Dr Rm A301, Stanford, California. You can reach out to her office (for appointments etc.) via phone at (650) 723-6469.

Ms Shelli Dawn Chittum is licensed to practice in California (license number NP95003729) 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 1932565322.

Contact Information

	Ms Shelli Dawn Chittum, NP
	300 Pasteur Dr Rm A301, Stanford, CA 94305-2200
	(650) 723-6469
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Shelli Dawn Chittum
Gender	Female
Speciality	Nurse Practitioner
Location	300 Pasteur Dr Rm A301, Stanford, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932565322
Provider Enumeration Date: 01/14/2016
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 4183914476
Enrollment ID: I20160526002520

Medical Identifiers

Medical identifiers for Ms Shelli Dawn Chittum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932565322	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN644118 (California)	Secondary
363L00000X	Nurse Practitioner	NP95003729 (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. Ms Shelli Dawn Chittum allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The Univ Of Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

Entity Name	Providence Saint Johns Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904

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. Ms Shelli Dawn Chittum 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
Ms Shelli Dawn Chittum, NP 300 Pasteur Dr Rm A301, Stanford, CA 94305-2200 Ph: (650) 723-6469	Ms Shelli Dawn Chittum, NP 300 Pasteur Dr Rm A301, Stanford, CA 94305-2200 Ph: (650) 723-6469

Reviews and Comments

Nurse Practitioner Nurses in Stanford, CA

Angie Dee Murkins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Gloria Le Choi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Mrs. Joi Mei Soucy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Olinda Su Mar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Laura Lynne Asaro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 Blake Wilbur Dr, Clinic D, Stanford, CA 94305 Phone: 650-723-6197
Nancy S. Brook, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-498-7103
Mr. Richard Quitevis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-724-2906

Ms Shelli Dawn Chittum, NP - Medicare Nurse Practitioner in Stanford, CA