Patrick Kelly Shanovich, MD in Los Angeles, CA

Patrick Kelly Shanovich, MD is a medicare enrolled "Emergency Medicine" physician in Los Angeles, California. His current practice location is 1401 S Grand Ave, Emergency Department, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 742-5555.

Patrick Kelly Shanovich is licensed to practice in California (license number NONE) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487854469.

Contact Information

	Patrick Kelly Shanovich, MD
	1401 S Grand Ave, Emergency Department, Los Angeles, CA 90015-3010
	(213) 742-5555
	Not Available

Map and Direction

Physician's Profile

Full Name	Patrick Kelly Shanovich
Gender	Male
Speciality	Emergency Medicine
Location	1401 S Grand Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487854469
Provider Enumeration Date: 07/19/2007
Last Update Date: 02/04/2014

Medicare PECOS Information:

PECOS PAC ID: 2163571829
Enrollment ID: I20090529000044

Medical Identifiers

Medical identifiers for Patrick Kelly Shanovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487854469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	NONE (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. Patrick Kelly Shanovich allows following entities to bill medicare on his behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

Entity Name	Golden State Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770886558 PECOS PAC ID: 4981885951 Enrollment ID: O20110223001018

Entity Name	Victory Emergency Physicians Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932402716 PECOS PAC ID: 9133301732 Enrollment ID: O20110302000980

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. Patrick Kelly Shanovich 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
Patrick Kelly Shanovich, MD 1401 S Grand Ave, Emergency Department, Los Angeles, CA 90015-3010 Ph: (213) 742-5555	Patrick Kelly Shanovich, MD 1401 S Grand Ave, Emergency Department, Los Angeles, CA 90015-3010 Ph: (213) 742-5555

Reviews and Comments

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Patrick Kelly Shanovich, MD - Medicare Emergency Medicine in Los Angeles, CA