Vivien Talosig Shadd, MSN, FNP-BC,CDE in Los Angeles, CA

Vivien Talosig Shadd, MSN, FNP-BC,CDE is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 1800 Wilshire Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 484-9934.

Vivien Talosig Shadd is licensed to practice in California (license number 19568) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083937148.

Contact Information

	Vivien Talosig Shadd, MSN, FNP-BC,CDE
	1800 Wilshire Blvd, Los Angeles, CA 90057-3602
	(213) 484-9934
	(213) 484-9939

Map and Direction

Provider's Profile

Full Name	Vivien Talosig Shadd
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	1800 Wilshire Blvd, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Vivien Talosig Shadd graduated from nursing school in 2009

NPI Data:

NPI Number: 1083937148
Provider Enumeration Date: 03/03/2010
Last Update Date: 10/24/2021

Medicare PECOS Information:

PECOS PAC ID: 2264696186
Enrollment ID: I20120605000617

Medical Identifiers

Medical identifiers for Vivien Talosig Shadd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083937148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WD0400X	Registered Nurse - Diabetes Educator	559188 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	19568 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Vivien Talosig Shadd allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Vivien Talosig Shadd 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
Vivien Talosig Shadd, MSN, FNP-BC,CDE 22311 Runnymede St, Canoga Park, CA 91303-1023 Ph: (818) 456-7582	Vivien Talosig Shadd, MSN, FNP-BC,CDE 1800 Wilshire Blvd, Los Angeles, CA 90057-3602 Ph: (213) 484-9934

Reviews and Comments

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Vivien Talosig Shadd, MSN, FNP-BC,CDE - Medicare Nurse Practitioner in Los Angeles, CA