Amy Wall Shore, MD in Marina Del Rey, CA

Amy Wall Shore, MD is a medicare enrolled "Anesthesiology" physician in Marina Del Rey, California. She went to Louisiana State University School Of Medicine In Shreveport and graduated in 2004 and has 21 years of diverse experience with area of expertise as Anesthesiology. Her current practice location is 4553 Glencoe Ave Ste 100, Marina Del Rey, California. You can reach out to her office (for appointments etc.) via phone at (949) 988-7800.

Amy Wall Shore is licensed to practice in Alabama (license number 30993) 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 1235305566.

Contact Information

	Amy Wall Shore, MD
	4553 Glencoe Ave Ste 100, Marina Del Rey, CA 90292-7917
	(949) 988-7800
	Not Available

Map and Direction

Physician's Profile

Full Name	Amy Wall Shore
Gender	Female
Speciality	Anesthesiology
Experience	21 Years
Location	4553 Glencoe Ave Ste 100, Marina Del Rey, 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:

Amy Wall Shore attended and graduated from Louisiana State University School Of Medicine In Shreveport in 2004

NPI Data:

NPI Number: 1235305566
Provider Enumeration Date: 05/06/2008
Last Update Date: 11/15/2025

Medicare PECOS Information:

PECOS PAC ID: 3072672906
Enrollment ID: I20130125000191

Medical Identifiers

Medical identifiers for Amy Wall Shore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235305566	NPI	-	NPPES
132224	Medicaid	AL
132231	Medicaid	AL
051120731	Other	AL	BCBS
132222	Medicaid	AL
051120732	Other	AL	BCBS
051120734	Other	AL	BCBS
051120729	Other	AL	BCBS
132226	Medicaid	AL
01600227	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	226228 (Massachusetts)	Secondary
207L00000X	Anesthesiology	30993 (Alabama)	Primary
207L00000X	Anesthesiology	A123437 (California)	Secondary

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. Amy Wall Shore allows following entities to bill medicare on her behalf.

Entity Name	Westside Anesthesia Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528381704 PECOS PAC ID: 2860684248 Enrollment ID: O20101004000677

Entity Name	Shore Mds Medical Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427491018 PECOS PAC ID: 8123250263 Enrollment ID: O20140403002129

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. Amy Wall Shore 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
Amy Wall Shore, MD 1590 Rosecrans Ave Ste D, Manhattan Beach, CA 90266-3716 Ph: (310) 737-2844	Amy Wall Shore, MD 4553 Glencoe Ave Ste 100, Marina Del Rey, CA 90292-7917 Ph: (949) 988-7800

Reviews and Comments

Anesthesiology Doctors in Marina Del Rey, CA

Dr. Edward Barry Sadin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Spinnaker St, 18, Marina Del Rey, CA 90292 Phone: 310-822-9678
Michelle Renee Itkonen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911
Seroos Salavati, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911
William F Francis Foran, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911
Dr. Terry David Krekorian, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 13160 Mindanao Way, Marina Del Rey, CA 90292 Phone: 310-574-0440
Luis E Torres-garcia, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911

Amy Wall Shore, MD - Medicare Anesthesiology in Marina Del Rey, CA