Alexandria Therese Villanueva, in Los Angeles, CA

Alexandria Therese Villanueva, is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. Her current practice location is 400 W 30th St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 284-3200.

Alexandria Therese Villanueva is licensed to practice in California (license number 95012484) 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 1710599345.

Contact Information

	Alexandria Therese Villanueva,
	400 W 30th St, Los Angeles, CA 90007-3320
	(213) 284-3200
	Not Available

Map and Direction

Provider's Profile

Full Name	Alexandria Therese Villanueva
Gender	Female
Speciality	Nurse Practitioner - Family
Location	400 W 30th St, 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: 1710599345
Provider Enumeration Date: 08/17/2020
Last Update Date: 04/13/2021

Medicare PECOS Information:

PECOS PAC ID: 8325468911
Enrollment ID: I20201021000188

Medical Identifiers

Medical identifiers for Alexandria Therese Villanueva such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710599345	NPI	-	NPPES
100195312	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95012484 (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. Alexandria Therese Villanueva allows following entities to bill medicare on her behalf.

Entity Name	Pc Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093814113 PECOS PAC ID: 6305839101 Enrollment ID: O20040407000296

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. Alexandria Therese Villanueva 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
Alexandria Therese Villanueva, 400 W 30th St, Los Angeles, CA 90007-3320 Ph: (213) 282-3200	Alexandria Therese Villanueva, 400 W 30th St, Los Angeles, CA 90007-3320 Ph: (213) 284-3200

Reviews and Comments

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Alexandria Therese Villanueva, - Medicare Nurse Practitioner in Los Angeles, CA