Mr Dane Arthur Shoemaker, NP in Petaluma, CA - Medicare Nurse Practitioner

Mr Dane Arthur Shoemaker, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Petaluma, California. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Providence Medical Foundation and his current practice location is 1179 N Mcdowell Blvd, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at (707) 559-7500.

Mr Dane Arthur Shoemaker is licensed to practice in California (license number 22212) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568713675.

Contact Information

	Mr Dane Arthur Shoemaker, NP
	1179 N Mcdowell Blvd, Petaluma, CA 94954
	(707) 559-7500
	(707) 559-7620

Map and Direction

Provider's Profile

Full Name	Mr Dane Arthur Shoemaker
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	1179 N Mcdowell Blvd, Petaluma, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Dane Arthur Shoemaker graduated from nursing school in 2012

NPI Data:

NPI Number: 1568713675
Provider Enumeration Date: 09/28/2012
Last Update Date: 11/10/2021

Medicare PECOS Information:

PECOS PAC ID: 6800032731
Enrollment ID: I20130423000088

Medical Identifiers

Medical identifiers for Mr Dane Arthur Shoemaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568713675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	22212 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Rosa Memorial Hospital	Santa rosa, CA	Hospital
St Joseph Hospital	Eureka, CA	Hospital
Queen Of The Valley Medical Center	Napa, CA	Hospital
Adventist Health Howard Memorial	Willits, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1293

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. Mr Dane Arthur Shoemaker allows following entities to bill medicare on his behalf.

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. Mr Dane Arthur Shoemaker 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
Mr Dane Arthur Shoemaker, NP 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (707) 559-7500	Mr Dane Arthur Shoemaker, NP 1179 N Mcdowell Blvd, Petaluma, CA 94954 Ph: (707) 559-7500

Reviews and Comments

Nurse Practitioner Nurses in Petaluma, CA

Ms. Barbara L. Schoen, FNP/PA-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 599 Tomales Rd., Petaluma, CA 94952 Phone: 707-765-7205
Jessica Flinders, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 104 Lynch Creek Way, Suite 10, Petaluma, CA 94954 Phone: 707-782-9123 Fax: 707-782-9622
Sherin Ann Chakkalakel, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Lynch Creek Way, Petaluma, CA 94954 Phone: 707-763-0802
Gisselle E Suazo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7617 Fax: 707-559-7620
Andrew K Chinnock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-776-8066
Stephanie M Treece, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7620
Mallory Paige Mullikin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900

Mr Dane Arthur Shoemaker, NP - Medicare Nurse Practitioner in Petaluma, CA