Dr Shellah Myra Imperio, PH D is a medicare enrolled "Psychologist - Counseling" provider in Tulalip, Washington. Her current practice location is
2828 Mission Hill Rd, Tulalip, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 716-3284.
Dr Shellah Myra Imperio is licensed to practice in Washington (license number PY60084605) 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 1952440281.
Healthcare Provider's Profile
Full Name | Dr Shellah Myra Imperio |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 2828 Mission Hill Rd, Tulalip, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952440281
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 04/20/2010
Medicare PECOS Information:
- PECOS PAC ID: 9234464165
- Enrollment ID: I20190715000633
Medical Identifiers
Medical identifiers for Dr Shellah Myra Imperio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952440281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | PY60084605 (Washington) | 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. Dr Shellah Myra Imperio allows following entities to bill medicare on her behalf.
Entity Name | Tulalip Tribes Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770531501 PECOS PAC ID: 7719879782 Enrollment ID: O20160615001117 |
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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. Dr Shellah Myra Imperio 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 |
Dr Shellah Myra Imperio, PH D 2828 Mission Hill Rd, Tulalip, WA 98271-9706 Ph: (360) 716-3284 | Dr Shellah Myra Imperio, PH D 2828 Mission Hill Rd, Tulalip, WA 98271-9706 Ph: (360) 716-3284 |
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