Qiaoyun Shi, MD, PHD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in El Monte, California. She graduated from medical school in 2001 and has 25 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Pacific Clinics and her current practice location is
9864 Baldwin Pl, El Monte, California. You can reach out to her office (for appointments etc.) via phone at
(626) 433-1311.
Qiaoyun Shi is licensed to practice in California (license number 163297) 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 1083158075.
Physician's Profile
| Full Name | Qiaoyun Shi |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 25 Years |
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| Location | 9864 Baldwin Pl, El Monte, California |
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| 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:
- Qiaoyun Shi graduated from medical school in 2001
NPI Data:
- NPI Number: 1083158075
- Provider Enumeration Date: 12/09/2016
- Last Update Date: 11/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294153540
- Enrollment ID: I20200917002635
Medical Identifiers
Medical identifiers for Qiaoyun Shi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083158075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 008961 (Georgia) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 163297 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Pacific Clinics | 4082008420 | 75 |
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. Qiaoyun Shi allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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. Qiaoyun 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 |
Qiaoyun Shi, MD, PHD 9864 Baldwin Pl, El Monte, CA 91731-2202 Ph: (626) 433-1311 | Qiaoyun Shi, MD, PHD 9864 Baldwin Pl, El Monte, CA 91731-2202 Ph: (626) 433-1311 |
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