Marissa Diora Trinidad, MD in Los Angeles, CA - Medicare Student in an Organized Health Care Education/Training Program

Marissa Diora Trinidad, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Los Angeles, California. Her current practice location is 1414 S Grand Ave Ste 200, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (626) 457-5515.

Marissa Diora Trinidad is licensed to practice in * (Not Available) (license number ) 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 1740817691.

Contact Information

	Marissa Diora Trinidad, MD
	1414 S Grand Ave Ste 200, Los Angeles, CA 90015
	(626) 457-5515
	Not Available

Map and Direction

Physician's Profile

Full Name	Marissa Diora Trinidad
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	1414 S Grand Ave Ste 200, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740817691
Provider Enumeration Date: 03/23/2020
Last Update Date: 04/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8921473687
Enrollment ID: I20230616001725

Medical Identifiers

Medical identifiers for Marissa Diora Trinidad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740817691	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	184932 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Marissa Diora Trinidad allows following entities to bill medicare on her behalf.

Entity Name	Northeast Community Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700097540 PECOS PAC ID: 5193710275 Enrollment ID: O20040417000619

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. Marissa Diora Trinidad 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
Marissa Diora Trinidad, MD 1414 S Grand Ave Ste 200, Los Angeles, CA 90015-3067 Ph: () -	Marissa Diora Trinidad, MD 1414 S Grand Ave Ste 200, Los Angeles, CA 90015 Ph: (626) 457-5515

Marissa Diora Trinidad, MD - Medicare Student in an Organized Health Care Education/Training Program in Los Angeles, CA