Reene Shallal, FNP - Medicare Nurse Practitioner in Walled Lake, MI

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Reene Shallal, FNP is a medicare enrolled "Nurse Practitioner - Family" in Walled Lake, Michigan. Her current practice location is 100 W West Maple Rd, Walled Lake, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 624-4555.

Reene Shallal is licensed to practice in Michigan (license number 4704259539) 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 1356053904.

Contact Information

Reene Shallal, FNP
100 W West Maple Rd,
Walled Lake, MI 48390-3402
(248) 624-4555
Not Available

Map and Direction




Provider's Profile

Full NameReene Shallal
GenderFemale
SpecialityNurse Practitioner - Family
Location100 W West Maple Rd, Walled Lake, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356053904
  • Provider Enumeration Date: 12/14/2022
  • Last Update Date: 12/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7214307362
  • Enrollment ID: I20230105002070

Medical Identifiers

Medical identifiers for Reene Shallal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356053904NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704259539 (Michigan)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. Reene Shallal allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902848617
PECOS PAC ID: 9133123755
Enrollment ID: O20060912000584
Entity NameCare Family Medicine Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083358782
PECOS PAC ID: 8729475207
Enrollment ID: O20220502001713

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. Reene Shallal 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 AddressPractice Location Address
Reene Shallal, FNP
7354 Carlyle Xing,
West Bloomfield, MI 48322-3282

Ph: (248) 705-1765		Reene Shallal, FNP
100 W West Maple Rd,
Walled Lake, MI 48390-3402

Ph: (248) 624-4555

Reviews and Comments


Nurse Practitioner Nurses in Walled Lake, MI

Kari Mcavoy, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 W West Maple Rd, Walled Lake, MI 48390
Phone: 866-389-2727    
Nadia Piccolo, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 620 N Pontiac Trl, Walled Lake, MI 48390
Phone: 248-624-4511    Fax: 248-624-4408
Valentina Schoneck, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 620 N Pontiac Trl, Walled Lake, MI 48390
Phone: 248-624-4511    Fax: 248-624-4408
Hillary Little, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 W West Maple Rd, Walled Lake, MI 48390
Phone: 248-624-4555    
Audra Collins,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 W West Maple Rd, Walled Lake, MI 48390
Phone: 248-624-4555    
Allyssa Boddy, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 W West Maple Rd, Walled Lake, MI 48390
Phone: 866-389-2727    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.