Ronald Shistick, FNP in West Hills, CA - Medicare Nurse Practitioner

Ronald Shistick, FNP is a medicare enrolled "Nurse Practitioner - Family" in West Hills, California. His current practice location is 7847 Valley Flores Dr, West Hills, California. You can reach out to his office (for appointments etc.) via phone at (818) 992-1502.

Ronald Shistick is licensed to practice in California (license number 19641) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790094928.

Contact Information

	Ronald Shistick, FNP
	7847 Valley Flores Dr, West Hills, CA 91304-6105
	(818) 992-1502
	Not Available

Map and Direction

Provider's Profile

Full Name	Ronald Shistick
Gender	Male
Speciality	Nurse Practitioner - Family
Location	7847 Valley Flores Dr, West Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790094928
Provider Enumeration Date: 10/05/2010
Last Update Date: 05/31/2011

Medicare PECOS Information:

PECOS PAC ID: 7416135298
Enrollment ID: I20240517000053

Medical Identifiers

Medical identifiers for Ronald Shistick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790094928	NPI	-	NPPES
4444167333	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	19641 (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. Ronald Shistick allows following entities to bill medicare on his behalf.

Entity Name	Lakeside Medical Organization A Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015

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. Ronald Shistick 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
Ronald Shistick, FNP 7847 Valley Flores Dr, West Hills, CA 91304-6105 Ph: (818) 992-1502	Ronald Shistick, FNP 7847 Valley Flores Dr, West Hills, CA 91304-6105 Ph: (818) 992-1502

Reviews and Comments

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Ronald Shistick, FNP - Medicare Nurse Practitioner in West Hills, CA