Jieun Shin, in Garden Grove, CA - Medicare Nurse Practitioner

Jieun Shin, is a medicare enrolled "Nurse Practitioner - Primary Care" in Garden Grove, California. Her current practice location is 9896 Garden Grove Blvd, Garden Grove, California. You can reach out to her office (for appointments etc.) via phone at (714) 636-3032.

Jieun Shin is licensed to practice in California (license number NP95008532) 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 1275035917.

Contact Information

	Jieun Shin,
	9896 Garden Grove Blvd, Garden Grove, CA 92844-1643
	(714) 636-3032
	(714) 636-3116

Map and Direction

Provider's Profile

Full Name	Jieun Shin
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	9896 Garden Grove Blvd, Garden Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275035917
Provider Enumeration Date: 03/07/2018
Last Update Date: 05/25/2022

Medicare PECOS Information:

PECOS PAC ID: 6901262328
Enrollment ID: I20230509002862

Medical Identifiers

Medical identifiers for Jieun Shin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275035917	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	NP95008532 (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. Jieun Shin allows following entities to bill medicare on her behalf.

Entity Name	Garden Grove Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972781458 PECOS PAC ID: 1456514264 Enrollment ID: O20120515000096

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. Jieun Shin 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
Jieun Shin, 9896 Garden Grove Blvd, Garden Grove, CA 92844-1643 Ph: (714) 636-3032	Jieun Shin, 9896 Garden Grove Blvd, Garden Grove, CA 92844-1643 Ph: (714) 636-3032

Reviews and Comments

Nurse Practitioner Nurses in Garden Grove, CA

Barbara C Kenerson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6151 Cerulean Ave, Garden Grove, CA 92845 Phone: 714-943-3126
Ms. Jung Eun Yim, N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9828 Garden Grove Blvd Ste 201, Garden Grove, CA 92844 Phone: 714-530-9633 Fax: 714-530-4410
Ms. Jennifer Amos, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12141 Brookhurst St, Garden Grove, CA 92840 Phone: 714-296-1934
Anh Nguyen Galleta, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9191 Westminster Ave Ste 106, Garden Grove, CA 92844 Phone: 714-583-6340
Mrs. Adita Graciela Mckenzie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12751 Harbor Blvd, Garden Grove, CA 92840 Phone: 714-620-8883
Tu Thuy Tonnu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14221 Euclid St Ste H, Garden Grove, CA 92843 Phone: 714-539-9999 Fax: 714-539-9015
Susan Jean Reynolds, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9802 Woodbury Ave, Garden Grove, CA 92844 Phone: 714-663-6411 Fax: 714-663-6470

Jieun Shin, - Medicare Nurse Practitioner in Garden Grove, CA