Mrs Clara Elaine Mcnulty, NNP-BC is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Los Angeles, California. Her current practice location is
757 Westwood Plz Fl 5, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(310) 267-7565.
Mrs Clara Elaine Mcnulty is licensed to practice in California (license number 95025591) 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 1114604006.
Physician's Profile
Full Name | Mrs Clara Elaine Mcnulty |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 757 Westwood Plz Fl 5, Los Angeles, 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: 1114604006
- Provider Enumeration Date: 07/03/2023
- Last Update Date: 02/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042673493
- Enrollment ID: I20230831004175
Medical Identifiers
Medical identifiers for Mrs Clara Elaine Mcnulty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114604006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 95025591 (California) | Secondary |
363LN0000X | Nurse Practitioner - Neonatal | 95025591 (California) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 95025591 (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. Mrs Clara Elaine Mcnulty allows following entities to bill medicare on her behalf.
Entity Name | Uc Regents |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982667663 PECOS PAC ID: 4587568829 Enrollment ID: O20031119001005 |
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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. Mrs Clara Elaine Mcnulty 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 |
Mrs Clara Elaine Mcnulty, NNP-BC 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-5200 | Mrs Clara Elaine Mcnulty, NNP-BC 757 Westwood Plz Fl 5, Los Angeles, CA 90095-2804 Ph: (310) 267-7565 |
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