Shanna Rucker, NP in Los Angeles, CA - Medicare Nurse Practitioner

Shanna Rucker, NP is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. Her current practice location is 2707 S Central Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (702) 612-6316.

Shanna Rucker is licensed to practice in California (license number 95017042) 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 1194307421.

Contact Information

	Shanna Rucker, NP
	2707 S Central Ave, Los Angeles, CA 90011-5527
	(702) 612-6316
	Not Available

Map and Direction

Provider's Profile

Full Name	Shanna Rucker
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2707 S Central Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194307421
Provider Enumeration Date: 04/26/2021
Last Update Date: 04/26/2021

Medicare PECOS Information:

PECOS PAC ID: 5890167159
Enrollment ID: I20230214002561

Medical Identifiers

Medical identifiers for Shanna Rucker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194307421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95017042 (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. Shanna Rucker allows following entities to bill medicare on her behalf.

Entity Name	Global Wound Care Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871

Entity Name	American Wound Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20230927002772

Entity Name	Amniotti Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780465062 PECOS PAC ID: 2264882075 Enrollment ID: O20231220000466

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. Shanna Rucker 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
Shanna Rucker, NP 8416 Delco Ave, Winnetka, CA 91306-1317 Ph: (702) 612-6316	Shanna Rucker, NP 2707 S Central Ave, Los Angeles, CA 90011-5527 Ph: (702) 612-6316

Reviews and Comments

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Shanna Rucker, NP - Medicare Nurse Practitioner in Los Angeles, CA