Laletha Shabazz, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Smithfield, Virginia. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Focused Psychiatric And Mental Health Care Services, Llc and her current practice location is
1801 S Church St, Smithfield, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 793-9483.
Laletha Shabazz is licensed to practice in Virginia (license number 0024186473) 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 1679284624.
Provider's Profile
| Full Name | Laletha Shabazz |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 1801 S Church St, Smithfield, Virginia |
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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. |
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Medical Education and Training:
- Laletha Shabazz graduated from nursing school in 2022
NPI Data:
- NPI Number: 1679284624
- Provider Enumeration Date: 12/12/2022
- Last Update Date: 05/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981061389
- Enrollment ID: I20230530002515
Medical Identifiers
Medical identifiers for Laletha Shabazz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679284624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 0001207047 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024186473 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Focused Psychiatric And Mental Health Care Services, Llc | 8729409784 | 2 |
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. Laletha Shabazz allows following entities to bill medicare on her behalf.
| Entity Name | Focused Psychiatric And Mental Health Care Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366082125
PECOS PAC ID: 8729409784
Enrollment ID: O20200528003158 |
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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. Laletha Shabazz 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 |
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Laletha Shabazz, PMHNP
3511 Cardinal Ln,
Portsmouth, VA 23703-3646
Ph: () - | Laletha Shabazz, PMHNP
1801 S Church St,
Smithfield, VA 23430-1858
Ph: (757) 793-9483 |
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