Shima Pezeshki, NP in Toluca Lake, CA - Medicare Nurse Practitioner

Shima Pezeshki, NP is a medicare enrolled "Nurse Practitioner" in Toluca Lake, California. Her current practice location is 11218 Camarillo St Apt 307, Toluca Lake, California. You can reach out to her office (for appointments etc.) via phone at (310) 500-9068.

Shima Pezeshki is licensed to practice in California (license number 95017797) 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 1518632421.

Contact Information

	Shima Pezeshki, NP
	11218 Camarillo St Apt 307, Toluca Lake, CA 91602-1261
	(310) 500-9068
	Not Available

Map and Direction

Provider's Profile

Full Name	Shima Pezeshki
Gender	Female
Speciality	Nurse Practitioner
Location	11218 Camarillo St Apt 307, Toluca Lake, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518632421
Provider Enumeration Date: 08/12/2021
Last Update Date: 08/12/2021

Medicare PECOS Information:

PECOS PAC ID: 3173990231
Enrollment ID: I20221101003380

Medical Identifiers

Medical identifiers for Shima Pezeshki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518632421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95017797 (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. Shima Pezeshki allows following entities to bill medicare on her behalf.

Entity Name	Sycamore Hill Hospitalist Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588139836 PECOS PAC ID: 1951646249 Enrollment ID: O20181213003088

Entity Name	Elite Wound Specialist Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154148997 PECOS PAC ID: 0749715407 Enrollment ID: O20241119001653

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. Shima Pezeshki 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
Shima Pezeshki, NP 11218 Camarillo St Apt 307, Toluca Lake, CA 91602-1261 Ph: (310) 500-9068	Shima Pezeshki, NP 11218 Camarillo St Apt 307, Toluca Lake, CA 91602-1261 Ph: (310) 500-9068

Reviews and Comments

Nurse Practitioner Nurses in Toluca Lake, CA

Kenyatt Renee Davis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10757 Hortense St Apt 208, Toluca Lake, CA 91602 Phone: 404-457-3031
Amanda Renee Layman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10757 Hortense St Apt 105, Toluca Lake, CA 91602 Phone: 818-802-9649
Jacqueline Ksajikian, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10220 Riverside Dr Ste A, Toluca Lake, CA 91602 Phone: 818-308-7394
Mrs. Samantha M Matros, M.S.N., F.N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4418 Vineland Ave # 102, Toluca Lake, CA 91602 Phone: 818-842-7145 Fax: 818-953-2839
Mrs. Victoria J. Chan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 Phone: 818-842-7145 Fax: 818-842-8202
Angelica Menchaca, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4418 Vineland Ave, Toluca Lake, CA 91602 Phone: 818-842-7145

Shima Pezeshki, NP - Medicare Nurse Practitioner in Toluca Lake, CA