Dr Theresa Loya, MD - Medicare Pathology in Los Angeles, CA

Dr Theresa Loya, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Los Angeles, California. Her current practice location is 12021 S. Wilmington Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (563) 427-5363.

Dr Theresa Loya is licensed to practice in California (license number G37690) 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 1619069515.

Contact Information

Dr Theresa Loya, MD
12021 S. Wilmington Ave,
Los Angeles, CA 90059
(563) 427-5363
(562) 427-8802

Map and Direction




Physician's Profile

Full NameDr Theresa Loya
GenderFemale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location12021 S. Wilmington Ave, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619069515
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9133200744
  • Enrollment ID: I20080121000117

Medical Identifiers

Medical identifiers for Dr Theresa Loya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619069515NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology G37690 (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. Dr Theresa Loya allows following entities to bill medicare on her behalf.
Entity NameRancho Faculty Medical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750317970
PECOS PAC ID: 8022902469
Enrollment ID: O20040211000774

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 Theresa Loya 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
Dr Theresa Loya, MD
12021 S. Wilmington Ave,
Los Angeles, CA 90059

Ph: (563) 427-5363
Dr Theresa Loya, MD
12021 S. Wilmington Ave,
Los Angeles, CA 90059

Ph: (563) 427-5363

Reviews and Comments


Pathology Doctors in Los Angeles, CA

Evan Yung, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1450 San Pablo St Fl 2, Los Angeles, CA 90033
Phone: 323-442-2582    
Tiannan Wang, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 San Pablo St Rm 216, Los Angeles, CA 90033
Phone: 323-442-2582    
Nancy Klipfel, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1500 San Pablo St, Los Angeles, CA 90033
Phone: 323-442-2582    Fax: 323-442-2588
Lee Harold Hilborne, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095
Phone: 310-794-8285    
Peter Tontonoz, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095
Phone: 310-794-8285    
Jeffrey Fred Krane, MD PHD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 10833 Le Conte Ave # 13-145f, Los Angeles, CA 90095
Phone: 310-206-8199    Fax: 310-267-2058
Dr. Bahram Parsa, M.D., PH D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 100 Ucla Medical Plz, Suite 245, Los Angeles, CA 90024
Phone: 310-208-0099    Fax: 310-208-0963

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.