Shasta Primary Care Llc in Redding, CA

Shasta Primary Care Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Redding, California. The current practice location for Shasta Primary Care Llc is 2121 Airpark Dr, Redding, California. For appointments, you can reach them via phone at (530) 255-8025. The mailing address for Shasta Primary Care Llc is 2121 Airpark Dr, Redding, California and phone number is (530) 255-8025.

Shasta Primary Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1740945906. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (530) 255-8025.

Contact Information

	Shasta Primary Care Llc
	2121 Airpark Dr Redding CA 96001-2433
	(530) 255-8025
	(530) 255-8028

Map and Direction

Primary Care Clinic Profile

Full Name	Shasta Primary Care Llc
Speciality	Clinic/Center
Location	2121 Airpark Dr, Redding, California
Authorized Official Name and Position	Shauni Vonice Williams (RENDERING PROVIDER/FOUNDER)
Authorized Official Contact	5309497860
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shasta Primary Care Llc 2121 Airpark Dr Redding CA 96001-2433 Ph: (530) 255-8025	Shasta Primary Care Llc 2121 Airpark Dr Redding CA 96001-2433 Ph: (530) 255-8025

NPI Details:

NPI Number	1740945906
Provider Enumeration Date	11/03/2021
Last Update Date	04/02/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	0244629004
Medicare Enrollment ID	O20211116002700

Medical Identifiers

Medical identifiers for Shasta Primary Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740945906	NPI	-	NPPES
202129410899	Other	CA	STATE FILE NUMBER
1000694320	Medicaid	CA
CA376666	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Shasta Primary Care Llc acts as a billing entity for following providers:

Provider Name	Shauni Vonice Williams
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1952957474 PECOS PAC ID: 3577995703 Enrollment ID: I20191108002268

Reviews and Comments

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Shasta Primary Care Llc - Medicare Primary Care in Redding, CA