Mindy Sue Shapiro, MD in Santa Rosa, CA - Medicare Internal Medicine

Mindy Sue Shapiro, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Santa Rosa, California. Her current practice location is 401 Bicentennial Way, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 571-4000.

Mindy Sue Shapiro is licensed to practice in California (license number C51272) 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 1114001112.

Contact Information

	Mindy Sue Shapiro, MD
	401 Bicentennial Way, Santa Rosa, CA 95403-2149
	(707) 571-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mindy Sue Shapiro
Gender	Female
Speciality	Internal Medicine - Critical Care Medicine
Location	401 Bicentennial Way, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114001112
Provider Enumeration Date: 10/25/2006
Last Update Date: 03/10/2020

Medicare PECOS Information:

PECOS PAC ID: 9032193073
Enrollment ID: I20040616000929

Medical Identifiers

Medical identifiers for Mindy Sue Shapiro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114001112	NPI	-	NPPES
00C512720	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	5798 (Nevada)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	5798 (Nevada)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	5798 (Nevada)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	C51272 (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. Mindy Sue Shapiro allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Alameda Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Mindy Sue Shapiro 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
Mindy Sue Shapiro, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262	Mindy Sue Shapiro, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000

Reviews and Comments

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Jarrod Paul Holmes, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3555 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-528-1050 Fax: 707-525-3874
Dr. James Andrew Driscoll, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 Split Rail Ct, Santa Rosa, CA 95403 Phone: 512-459-6599
Dominic Joseph Picetti, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000

Mindy Sue Shapiro, MD - Medicare Internal Medicine in Santa Rosa, CA