Shaye Larie, NP in Lakeport, CA - Medicare Nurse Practitioner

Shaye Larie, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Lakeport, California. Her current practice location is 925 Bevins Ct, Lakeport, California. You can reach out to her office (for appointments etc.) via phone at (707) 263-8382.

Shaye Larie is licensed to practice in California (license number 95207424) 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 1013478569.

Contact Information

	Shaye Larie, NP
	925 Bevins Ct, Lakeport, CA 95453-9754
	(707) 263-8382
	Not Available

Map and Direction

Provider's Profile

Full Name	Shaye Larie
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	925 Bevins Ct, Lakeport, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013478569
Provider Enumeration Date: 03/27/2019
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 6608102009
Enrollment ID: I20200504000804

Medical Identifiers

Medical identifiers for Shaye Larie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013478569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95207424 (California)	Primary
363LF0000X	Nurse Practitioner - Family	60704 (Idaho)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	NP95207424 (California)	Secondary

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. Shaye Larie allows following entities to bill medicare on her behalf.

Entity Name	Lake County Tribal Health Consortium Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323

Entity Name	Redwood Coast Medical Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962530725 PECOS PAC ID: 6901941905 Enrollment ID: O20100302000446

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. Shaye Larie 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
Shaye Larie, NP Po Box 1074, Gualala, CA 95445-1074 Ph: (208) 954-3525	Shaye Larie, NP 925 Bevins Ct, Lakeport, CA 95453-9754 Ph: (707) 263-8382

Reviews and Comments

Nurse Practitioner Nurses in Lakeport, CA

Pamela Balch Maes, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5108 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-1840 Fax: 707-262-5844
Charissa M Barsos, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 Fax: 707-263-5019
Ms. Patricia Lynn Sanders, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd East, Lakeport, CA 95453 Phone: 707-262-5088 Fax: 707-262-5135
Ellen Marie Boersma, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5150 Hill Rd E, #f, Lakeport, CA 95453 Phone: 707-262-3060
Naah N/a Allotey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 487 S Main St, Lakeport, CA 95453 Phone: 707-263-4360 Fax: 707-253-4036
Florencia Karina Miranda Chumpitaz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 359 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-513-6002

Shaye Larie, NP - Medicare Nurse Practitioner in Lakeport, CA