Hetzabel Hernandez, PA-C is a medicare enrolled "Physician Assistant" physician in Duarte, California. Her current practice location is
1500 Duarte Rd, Duarte, California. You can reach out to her office (for appointments etc.) via phone at
(626) 256-4673.
Hetzabel Hernandez is licensed to practice in California (license number PA19514) 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 1053580670.
Physician's Profile
Full Name | Hetzabel Hernandez |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1500 Duarte Rd, Duarte, 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: 1053580670
- Provider Enumeration Date: 02/28/2008
- Last Update Date: 04/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123212594
- Enrollment ID: I20101029000433
Medical Identifiers
Medical identifiers for Hetzabel Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053580670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | PA19514 (California) | Secondary |
363A00000X | Physician Assistant | PA19514 (California) | Primary |
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. Hetzabel Hernandez 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 |
Hetzabel Hernandez, PA-C Po Box 512185, Los Angeles, CA 90051-0185 Ph: () - | Hetzabel Hernandez, PA-C 1500 Duarte Rd, Duarte, CA 91010-3012 Ph: (626) 256-4673 |
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