Carol Shi, MD in Newport Beach, CA - Medicare Family Medicine

Carol Shi, MD is a medicare enrolled "Family Medicine" physician in Newport Beach, California. Her current practice location is 1441 Avocado Ave Ste 503, Newport Beach, California. You can reach out to her office (for appointments etc.) via phone at (949) 718-9020.

Carol Shi is licensed to practice in California (license number A70644) 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 1033151402.

Contact Information

	Carol Shi, MD
	1441 Avocado Ave Ste 503, Newport Beach, CA 92660-7706
	(949) 718-9020
	(949) 718-9040

Map and Direction

Physician's Profile

Full Name	Carol Shi
Gender	Female
Speciality	Family Medicine
Location	1441 Avocado Ave Ste 503, Newport Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033151402
Provider Enumeration Date: 06/12/2006
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0042255242
Enrollment ID: I20070319000537

Medical Identifiers

Medical identifiers for Carol Shi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033151402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A70644 (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. Carol Shi allows following entities to bill medicare on her behalf.

Entity Name	Coastal Family Medicine Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275584120 PECOS PAC ID: 4587678065 Enrollment ID: O20090124000106

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. Carol 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 Address	Practice Location Address
Carol Shi, MD Po Box 2218, Suisun City, CA 94585-5218 Ph: (657) 241-3600	Carol Shi, MD 1441 Avocado Ave Ste 503, Newport Beach, CA 92660-7706 Ph: (949) 718-9020

Reviews and Comments

Family Medicine Doctors in Newport Beach, CA

Atef Khouzam, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 361 Hospital Rd, 322, Newport Beach, CA 92663 Phone: 949-574-0777 Fax: 949-650-3505
Dr. Todd Andrew Forman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 W Coast Hwy, Suite 500, Newport Beach, CA 92663 Phone: 949-646-7733 Fax: 949-646-6678
Hochong Bang, Family Medicine Medicare: Medicare Enrolled Practice Location: 2075 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 949-760-9222
Connor King, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 360 San Miguel Dr Ste 300, Newport Beach, CA 92660 Phone: 949-557-0830 Fax: 949-557-0831
Dr. John Paul Laura, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3333 W Coast Hwy, # 500, Newport Beach, CA 92663 Phone: 949-646-0077 Fax: 949-646-6678
Kristin Masukawa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Macarthur Blvd Ste 110, Newport Beach, CA 92660 Phone: 949-445-8768

Carol Shi, MD - Medicare Family Medicine in Newport Beach, CA