Asha Jenise Wilborn, NP in Orange, CA - Medicare Nurse Practitioner

Asha Jenise Wilborn, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Orange, California. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Foundation and her current practice location is 1310 W Stewart Dr Ste 410, Orange, California. You can reach out to her office (for appointments etc.) via phone at (714) 639-9401.

Asha Jenise Wilborn is licensed to practice in California (license number 20529) 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 1548565740.

Contact Information

	Asha Jenise Wilborn, NP
	1310 W Stewart Dr Ste 410, Orange, CA 92868-3855
	(714) 639-9401
	(714) 639-4105

Map and Direction

Provider's Profile

Full Name	Asha Jenise Wilborn
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	1310 W Stewart Dr Ste 410, Orange, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Asha Jenise Wilborn graduated from nursing school in 2010

NPI Data:

NPI Number: 1548565740
Provider Enumeration Date: 01/19/2011
Last Update Date: 02/27/2018

Medicare PECOS Information:

PECOS PAC ID: 0547443863
Enrollment ID: I20110324000323

Medical Identifiers

Medical identifiers for Asha Jenise Wilborn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548565740	NPI	-	NPPES
20529	Other	CA	NURSE PRACTITIONER LICENSE NUMBER
69334	Other	CA	PUBLIC HEALTH NURSE LICENSE NUMBER
P01064753	Other	CA	RAILROAD MEDICARE
625834	Other	CA	RN LICENSE NUMBER
1912919804	Other		TYPE 2 NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	625834 (California)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	20529 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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. Asha Jenise Wilborn allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Asha Jenise Wilborn 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
Asha Jenise Wilborn, NP 12900 Park Plaza Drive Ste 150, Cerritos, CA 90703 Ph: (562) 282-4027	Asha Jenise Wilborn, NP 1310 W Stewart Dr Ste 410, Orange, CA 92868-3855 Ph: (714) 639-9401

Reviews and Comments

Nurse Practitioner Nurses in Orange, CA

Jennifer Michelle Shively, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-204-3277
Sarah Stephens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 W Stewart Dr, Orange, CA 92868 Phone: 714-771-8000
Stephanie Pukini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2592 N Santiago Blvd, Orange, CA 92867 Phone: 855-434-7763
Patricia Goings, N.P., R.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2501 E Chapman Ave, Orange, CA 92869 Phone: 714-628-3110 Fax: 714-633-1715
Anna Katrina Cruz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 W Chapman Ave, Orange, CA 92868 Phone: 714-633-4300
Lea D Wood, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7630 E Chapman Ave Ste B, Orange, CA 92869 Phone: 714-287-0459
Elen G Araya, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812

Asha Jenise Wilborn, NP - Medicare Nurse Practitioner in Orange, CA