Laura Pauline Shipps, AUD is a medicare enrolled "Specialist/technologist, Other - Electroneurodiagnostic" provider in San Diego, California. Her current practice location is
4653 Carmel Mountain Rd Ste 308-201, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(619) 955-8494.
Laura Pauline Shipps is licensed to practice in * (Not Available) (license number ) 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 1578093977.
Healthcare Provider's Profile
| Full Name | Laura Pauline Shipps |
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| Gender | Female |
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| Speciality | Specialist/technologist, Other - Electroneurodiagnostic |
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| Location | 4653 Carmel Mountain Rd Ste 308-201, San Diego, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578093977
- Provider Enumeration Date: 06/18/2017
- Last Update Date: 06/19/2017
Medicare PECOS Information:
- PECOS PAC ID: 9436571759
- Enrollment ID: I20200615002440
Medical Identifiers
Medical identifiers for Laura Pauline Shipps such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578093977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 246ZE0600X | Specialist/technologist, Other - Electroneurodiagnostic | (* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Laura Pauline Shipps allows following entities to bill medicare on her behalf.
| Provider Name | Permanente Medical Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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| Provider Name | Alians Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1467869511
PECOS PAC ID: 1557783875
Enrollment ID: O20200817003602 |
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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. Laura Pauline Shipps 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 |
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Laura Pauline Shipps, AUD
4653 Carmel Mountain Rd Ste 308-201,
San Diego, CA 92130-6650
Ph: (619) 955-8494 | Laura Pauline Shipps, AUD
4653 Carmel Mountain Rd Ste 308-201,
San Diego, CA 92130-6650
Ph: (619) 955-8494 |
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