Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation is a medicare enrolled "Podiatrist" provider in Cerritos, California. Their current practice location is
11911 Artesia Blvd, #103, Cerritos, California. You can reach out to their office (for appointments etc.) via phone at
(562) 402-2489.
Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation is licensed to practice in California (license number E4322) and it also participates in the medicare program. Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1740512235.
Healthcare Provider's Profile
| Full Name | Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation |
|---|
| Type | Facility |
|---|
| Speciality | Podiatrist |
|---|
| Location | 11911 Artesia Blvd, Cerritos, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740512235
- Provider Enumeration Date: 02/08/2010
- Last Update Date: 09/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527182989
- Enrollment ID: O20100908000236
Medical Identifiers
Medical identifiers for Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740512235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213E00000X | Podiatrist | E4322 (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.
Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation acts as a billing entity for following providers:
| Provider Name | Shawn T Van Enoo |
|---|
| Provider Type | Practitioner - Podiatry |
|---|
| Provider Identifiers | NPI Number: 1073540688 PECOS PAC ID: 2668517699 Enrollment ID: I20100302000761 |
|---|
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. Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation 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 |
Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation 11911 Artesia Blvd Ste 103, Cerritos, CA 90701-4070 Ph: (562) 402-2489 | Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation 11911 Artesia Blvd, #103, Cerritos, CA 90703-4070 Ph: (562) 402-2489 |
Reviews and Comments