Katherine Jie Shi, - Medicare Dentist in Sacramento, CA

Katherine Jie Shi, is a medicare enrolled "Dentist - Endodontics" provider in Sacramento, California. Her current practice location is 1810 Professional Dr Ste A, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (916) 485-6900.

Katherine Jie Shi is licensed to practice in California (license number 106060) 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 1295399756.

Contact Information

Katherine Jie Shi,
1810 Professional Dr Ste A,
Sacramento, CA 95825-2165
(916) 485-6900
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKatherine Jie Shi
GenderFemale
SpecialityDentist - Endodontics
Location1810 Professional Dr Ste A, Sacramento, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295399756
  • Provider Enumeration Date: 04/30/2019
  • Last Update Date: 07/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8325377575
  • Enrollment ID: I20190912002632

Medical Identifiers

Medical identifiers for Katherine Jie Shi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295399756NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics 106060 (California)Primary

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. Katherine Jie Shi 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 AddressPractice Location Address
Katherine Jie Shi,
3907 San Carlos Way,
Sacramento, CA 95820-2709

Ph: (678) 507-4824
Katherine Jie Shi,
1810 Professional Dr Ste A,
Sacramento, CA 95825-2165

Ph: (916) 485-6900

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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