Shemika D Mitchell, in Riverside, CA - Medicare Nurse Practitioner

Shemika D Mitchell, is a medicare enrolled "Nurse Practitioner - Primary Care" in Riverside, California. Her current practice location is 4193 Flat Rock Dr, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (323) 388-6575.

Shemika D Mitchell is licensed to practice in California (license number 95011052) 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 1538635693.

Contact Information

	Shemika D Mitchell,
	4193 Flat Rock Dr, Riverside, CA 92505-7111
	(323) 388-6575
	Not Available

Map and Direction

Provider's Profile

Full Name	Shemika D Mitchell
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	4193 Flat Rock Dr, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538635693
Provider Enumeration Date: 10/16/2018
Last Update Date: 05/31/2021

Medicare PECOS Information:

PECOS PAC ID: 7214260405
Enrollment ID: I20190603001177

Medical Identifiers

Medical identifiers for Shemika D Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538635693	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95011052 (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. Shemika D Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Wound Masters Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376063461 PECOS PAC ID: 8224307053 Enrollment ID: O20170710002429

Entity Name	Trucare Telehealth & House Calls Practice A Professional Nursing Co
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942886171 PECOS PAC ID: 2062818289 Enrollment ID: O20210913002766

Entity Name	Pinnacle Well Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528827466 PECOS PAC ID: 1052751971 Enrollment ID: O20240425002466

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. Shemika D Mitchell 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
Shemika D Mitchell, 4193 Flat Rock Dr, Riverside, CA 92505-7111 Ph: (323) 388-6575	Shemika D Mitchell, 4193 Flat Rock Dr, Riverside, CA 92505-7111 Ph: (323) 388-6575

Reviews and Comments

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Shemika D Mitchell, - Medicare Nurse Practitioner in Riverside, CA