Shauna Marioni Ii, MSN, NP, CNM is a medicare enrolled "Advanced Practice Midwife" in Vacaville, California. Her current practice location is
3700 Vacavalley Pkwy, Vacaville, California. You can reach out to her office (for appointments etc.) via phone at
(707) 453-5503.
Shauna Marioni Ii is licensed to practice in California (license number 1407) 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 1053400978.
Provider's Profile
| Full Name | Shauna Marioni Ii |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 3700 Vacavalley Pkwy, Vacaville, California |
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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: 1053400978
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7719164631
- Enrollment ID: I20110601000910
Medical Identifiers
Medical identifiers for Shauna Marioni Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053400978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LW0102X | Nurse Practitioner - Women's Health | NP11072 (California) | Primary |
| 367A00000X | Advanced Practice Midwife | 1407 (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. Shauna Marioni Ii 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. Shauna Marioni Ii 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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Shauna Marioni Ii, MSN, NP, CNM
3700 Vaca Valley Pkwy,
Vacaville, CA 95688-9430
Ph: (707) 453-5462 | Shauna Marioni Ii, MSN, NP, CNM
3700 Vacavalley Pkwy,
Vacaville, CA 95688-9543
Ph: (707) 453-5503 |
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