Shanti Colo, is a medicare enrolled "Advanced Practice Midwife" in Silverton, Oregon. Her current practice location is
406 Welch St, Silverton, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 364-3787.
Shanti Colo is licensed to practice in Washington (license number AP61161569) 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 1508417577.
Provider's Profile
| Full Name | Shanti Colo |
|---|
| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 406 Welch St, Silverton, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508417577
- Provider Enumeration Date: 09/21/2019
- Last Update Date: 02/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 2961826953
- Enrollment ID: I20220214000531
Medical Identifiers
Medical identifiers for Shanti Colo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508417577 | NPI | - | NPPES |
| 500781877 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN60939595 (Washington) | Secondary |
| 163W00000X | Registered Nurse | 201809217 (Oregon) | Secondary |
| 367A00000X | Advanced Practice Midwife | AP61161569 (Washington) | Primary |
| 367A00000X | Advanced Practice Midwife | 202006152NP-PP (Oregon) | Secondary |
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. Shanti Colo allows following entities to bill medicare on her behalf.
| Entity Name | Franciscan Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789 |
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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. Shanti Colo 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 |
|---|
Shanti Colo,
1608 S J St, Fl 1,
Tacoma, WA 98405-4930
Ph: (253) 274-7501 | Shanti Colo,
406 Welch St,
Silverton, OR 97381-1934
Ph: (503) 364-3787 |
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