Anna Jadwiga Hadilaksono, NP - Medicare Nurse Practitioner in Santa Maria, CA

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Anna Jadwiga Hadilaksono, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Santa Maria, California. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Restorative Spine And Pain Inc and her current practice location is 135 Carmen Ln, Santa Maria, California. You can reach out to her office (for appointments etc.) via phone at (805) 928-7361.

Anna Jadwiga Hadilaksono is licensed to practice in California (license number 95010045) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922582832.

Contact Information

Anna Jadwiga Hadilaksono, NP
135 Carmen Ln,
Santa Maria, CA 93458-7729
(805) 928-7361
Not Available

Map and Direction




Provider's Profile

Full NameAnna Jadwiga Hadilaksono
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location135 Carmen Ln, Santa Maria, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Anna Jadwiga Hadilaksono graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1922582832
  • Provider Enumeration Date: 09/18/2018
  • Last Update Date: 09/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2961744131
  • Enrollment ID: I20190508003346

Medical Identifiers

Medical identifiers for Anna Jadwiga Hadilaksono such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922582832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 95010045 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Restorative Spine And Pain Inc84264514283

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. Anna Jadwiga Hadilaksono allows following entities to bill medicare on her behalf.
Entity NameRestorative Spine And Pain Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588234447
PECOS PAC ID: 8426451428
Enrollment ID: O20210728003210

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. Anna Jadwiga Hadilaksono 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 AddressPractice Location Address
Anna Jadwiga Hadilaksono, NP
128 La Colima,
Pismo Beach, CA 93449-2841

Ph: (732) 754-3197		Anna Jadwiga Hadilaksono, NP
135 Carmen Ln,
Santa Maria, CA 93458-7729

Ph: (805) 928-7361

Reviews and Comments


Nurse Practitioner Nurses in Santa Maria, CA

Richard L John Jr., APRN
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Medicare: Not Enrolled in Medicare
Practice Location: 1550 E Main St, Mental Health, Santa Maria, CA 93454
Phone: 805-354-6053    
Leslie M Hutton, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 821 E Chapel St Ste 201, Santa Maria, CA 93454
Phone: 805-922-5749    
Sharuti Dolly Bhatia,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1537 S Boston Ln, Santa Maria, CA 93458
Phone: 141-526-5050    
Mrs. Jennifer Diaz, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 210 S Palisade Dr Ste 101, Santa Maria, CA 93454
Phone: 805-922-0481    Fax: 805-925-5261
Ms. Sandra Mary Loehner, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 415 E Chapel St, Santa Maria, CA 93454
Phone: 805-722-3100    Fax: 805-928-7671
Mr. Justin Mora, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2271 S Depot St, Santa Maria, CA 93455
Phone: 805-922-0561    Fax: 805-922-0083
Beaulah P Jay,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2225 Cordoban Ln, Santa Maria, CA 93455
Phone: 805-478-8237    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.