Marylou Aclan, is a medicare enrolled "Nurse Practitioner - Family" physician in Sylmar, California. Her current practice location is
14400 Olive View Dr, Sylmar, California. You can reach out to her office (for appointments etc.) via phone at
(747) 210-4324.
Marylou Aclan is licensed to practice in California (license number 95010201) 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 1881162147.
Physician's Profile
Full Name | Marylou Aclan |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 14400 Olive View Dr, Sylmar, California |
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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: 1881162147
- Provider Enumeration Date: 11/05/2018
- Last Update Date: 07/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 4183059595
- Enrollment ID: I20200408004205
Medical Identifiers
Medical identifiers for Marylou Aclan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881162147 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 95010201 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95010201 (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. Marylou Aclan allows following entities to bill medicare on her behalf.
Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
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Entity Name | Northeast Valley Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067 |
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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. Marylou Aclan 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 |
Marylou Aclan, 27074 Hidaway Ave Unit 6, Canyon Country, CA 91351-4121 Ph: (818) 731-1657 | Marylou Aclan, 14400 Olive View Dr, Sylmar, CA 91342-1436 Ph: (747) 210-4324 |
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