Shaina-jill S Balayan, DNP, MS, CPNP in Fremont, CA

Shaina-jill S Balayan, DNP, MS, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Fremont, California. Her current practice location is 39500 Fremont Blvd Ste 100, Fremont, California. You can reach out to her office (for appointments etc.) via phone at (510) 248-1800.

Shaina-jill S Balayan is licensed to practice in California (license number 95016143) 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 1881242782.

Contact Information

	Shaina-jill S Balayan, DNP, MS, CPNP
	39500 Fremont Blvd Ste 100, Fremont, CA 94538-2101
	(510) 248-1800
	(510) 687-1356

Map and Direction

Provider's Profile

Full Name	Shaina-jill S Balayan
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	39500 Fremont Blvd Ste 100, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881242782
Provider Enumeration Date: 09/04/2019
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7113371162
Enrollment ID: I20230926001473

Medical Identifiers

Medical identifiers for Shaina-jill S Balayan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881242782	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0200X	Registered Nurse - Pediatrics	95217744 (California)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	95016143 (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. Shaina-jill S Balayan allows following entities to bill medicare on her behalf.

Entity Name	Washington Township Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346557014 PECOS PAC ID: 2860687050 Enrollment ID: O20101112001225

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. Shaina-jill S Balayan 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
Shaina-jill S Balayan, DNP, MS, CPNP 39500 Fremont Blvd Ste 100, Fremont, CA 94538-2101 Ph: (510) 248-1800	Shaina-jill S Balayan, DNP, MS, CPNP 39500 Fremont Blvd Ste 100, Fremont, CA 94538-2101 Ph: (510) 248-1800

Reviews and Comments

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Shaina-jill S Balayan, DNP, MS, CPNP - Medicare Nurse Practitioner in Fremont, CA