Shaina-jill S Balayan, DNP, MS, CPNP - Medicare Nurse Practitioner in Fremont, CA

Shaina-jill S Balayan, DNP, MS, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Fremont, California. Her current practice location is 39500 Fremont Blvd Ste 100, Fremont, California. You can reach out to her office (for appointments etc.) via phone at (510) 248-1800.

Shaina-jill S Balayan is licensed to practice in California (license number 95016143) 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 1881242782.

Contact Information

Shaina-jill S Balayan, DNP, MS, CPNP
39500 Fremont Blvd Ste 100,
Fremont, CA 94538-2101
(510) 248-1800
(510) 687-1356

Map and Direction




Provider's Profile

Full NameShaina-jill S Balayan
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location39500 Fremont Blvd Ste 100, Fremont, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881242782
  • Provider Enumeration Date: 09/04/2019
  • Last Update Date: 07/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113371162
  • Enrollment ID: I20230926001473

Medical Identifiers

Medical identifiers for Shaina-jill S Balayan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881242782NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0200XRegistered Nurse - Pediatrics 95217744 (California)Secondary
363LP0200XNurse Practitioner - Pediatrics 95016143 (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. Shaina-jill S Balayan allows following entities to bill medicare on her behalf.
Entity NameWashington Township Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346557014
PECOS PAC ID: 2860687050
Enrollment ID: O20101112001225

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. Shaina-jill S Balayan 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 AddressPractice Location Address
Shaina-jill S Balayan, DNP, MS, CPNP
39500 Fremont Blvd Ste 100,
Fremont, CA 94538-2101

Ph: (510) 248-1800
Shaina-jill S Balayan, DNP, MS, CPNP
39500 Fremont Blvd Ste 100,
Fremont, CA 94538-2101

Ph: (510) 248-1800

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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