Tatiana Shidaki, WHNP in Palm Springs, CA - Medicare Nurse Practitioner

Tatiana Shidaki, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Palm Springs, California. Her current practice location is 1100 N Palm Canyon Dr Ste 212, Palm Springs, California. You can reach out to her office (for appointments etc.) via phone at (760) 327-7900.

Tatiana Shidaki is licensed to practice in California (license number 95006869) 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 1215464144.

Contact Information

	Tatiana Shidaki, WHNP
	1100 N Palm Canyon Dr Ste 212, Palm Springs, CA 92262-4426
	(760) 327-7900
	(760) 327-7905

Map and Direction

Provider's Profile

Full Name	Tatiana Shidaki
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	1100 N Palm Canyon Dr Ste 212, Palm Springs, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215464144
Provider Enumeration Date: 05/23/2017
Last Update Date: 11/02/2017

Medicare PECOS Information:

PECOS PAC ID: 4486920360
Enrollment ID: I20171020000112

Medical Identifiers

Medical identifiers for Tatiana Shidaki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215464144	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	95006869 (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. Tatiana Shidaki allows following entities to bill medicare on her behalf.

Entity Name	Advanced Women's Healthcare A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609064435 PECOS PAC ID: 1951292051 Enrollment ID: O20040319001579

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. Tatiana Shidaki 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
Tatiana Shidaki, WHNP 1100 N Palm Canyon Dr Ste 212, Palm Springs, CA 92262-4426 Ph: (760) 327-7900	Tatiana Shidaki, WHNP 1100 N Palm Canyon Dr Ste 212, Palm Springs, CA 92262-4426 Ph: (760) 327-7900

Reviews and Comments

Nurse Practitioner Nurses in Palm Springs, CA

Lynn Rochele Lopez Santos, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 N Indian Canyon Dr Ste W304, Palm Springs, CA 92262 Phone: 760-322-9562
Alicia Berenice Rios, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1180 N Indian Canyon Dr Ste E420, Palm Springs, CA 92262 Phone: 760-778-7147
Mr. Matthew Gabriel Moran, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 E Tachevah Dr Ste 1e201, Palm Springs, CA 92262 Phone: 760-299-6487
Madeline Elizabeth Ramirez, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1555 S Palm Canyon Dr, Palm Springs, CA 92264 Phone: 760-969-7770 Fax: 760-969-7771
Tina Michelle Huff, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 N El Cielo Rd Ste D-402, Palm Springs, CA 92262 Phone: 760-320-8814
Ms. Beverly A Kram, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 S Palm Canyon Dr, Palm Springs, CA 92262 Phone: 760-568-2684 Fax: 760-341-5832
Ms. Ann Marie Ala, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N Palm Canyon Dr # 104-106, Palm Springs, CA 92262 Phone: 760-327-1188 Fax: 760-322-2886

Tatiana Shidaki, WHNP - Medicare Nurse Practitioner in Palm Springs, CA