Mr Shawn Robert Hurley, NP-C - Medicare Nurse Practitioner in Alta Loma, CA

Mr Shawn Robert Hurley, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Alta Loma, California. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice California Neurointerventional Surgeons, Inc and his current practice location is 9747 Caldaro St, Alta Loma, California. You can reach out to his office (for appointments etc.) via phone at (909) 476-2190.

Mr Shawn Robert Hurley is licensed to practice in California (license number NP95004548) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013465202.

Contact Information

Mr Shawn Robert Hurley, NP-C
9747 Caldaro St,
Alta Loma, CA 91737-3577
(909) 476-2190
Not Available



Provider's Profile

Full NameMr Shawn Robert Hurley
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location9747 Caldaro St, Alta Loma, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Shawn Robert Hurley graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1013465202
  • Provider Enumeration Date: 09/15/2016
  • Last Update Date: 09/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3173892437
  • Enrollment ID: I20170630001137

Medical Identifiers

Medical identifiers for Mr Shawn Robert Hurley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013465202NPI-NPPES
NP95004548MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner NP95004548 (California)Secondary
363LF0000XNurse Practitioner - Family NP95004548 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
California Neurointerventional Surgeons, Inc26687171258

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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. Mr Shawn Robert Hurley allows following entities to bill medicare on his behalf.
Entity NameEl-bershawi Medical Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386813103
PECOS PAC ID: 9032298492
Enrollment ID: O20080509000414

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Entity NameCep America - Neurology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225569346
PECOS PAC ID: 3971871500
Enrollment ID: O20170622001181

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Entity NameCalifornia Neurointerventional Surgeons, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417315300
PECOS PAC ID: 2668717125
Enrollment ID: O20190103000009

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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. Mr Shawn Robert Hurley 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 AddressPractice Location Address
Mr Shawn Robert Hurley, NP-C
9747 Caldaro St,
Alta Loma, CA 91737-3577

Ph: (909) 476-2190
Mr Shawn Robert Hurley, NP-C
9747 Caldaro St,
Alta Loma, CA 91737-3577

Ph: (909) 476-2190

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Nurse Practitioner Nurses in Alta Loma, CA

Tiffany Monique Horn, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5537 Malachite Ave, Alta Loma, CA 91737
Phone: 909-560-5116    
Ms. Andrea Lewis, NNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4928 Clover Pl, Alta Loma, CA 91737
Phone: 909-948-5670    
Buchi Stella Imoohi, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6367 Puma Pl, Alta Loma, CA 91737
Phone: 909-231-9242    

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