Avery John Paulson, RN, NP - Medicare Nurse Practitioner in San Luis Obispo, CA

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Avery John Paulson, RN, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Luis Obispo, California. His current practice location is 2180 Johnson Ave, San Luis Obispo, California. You can reach out to his office (for appointments etc.) via phone at (805) 431-1334.

Avery John Paulson is licensed to practice in California (license number 95024036) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013489715.

Contact Information

Avery John Paulson, RN, NP
2180 Johnson Ave,
San Luis Obispo, CA 93401-4558
(805) 431-1334
Not Available

Map and Direction




Provider's Profile

Full NameAvery John Paulson
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2180 Johnson Ave, San Luis Obispo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013489715
  • Provider Enumeration Date: 12/19/2018
  • Last Update Date: 06/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840645933
  • Enrollment ID: I20231010001294

Medical Identifiers

Medical identifiers for Avery John Paulson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013489715NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95024036 (California)Primary
163W00000XRegistered Nurse 686849 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Avery John Paulson allows following entities to bill medicare on his behalf.
Entity NameCounty Of San Luis Obispo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134287634
PECOS PAC ID: 9032020094
Enrollment ID: O20050407000794

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. Avery John Paulson 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
Avery John Paulson, RN, NP
2180 Johnson Ave,
San Luis Obispo, CA 93401-4558

Ph: () -		Avery John Paulson, RN, NP
2180 Johnson Ave,
San Luis Obispo, CA 93401-4558

Ph: (805) 431-1334

Reviews and Comments


Nurse Practitioner Nurses in San Luis Obispo, CA

John Garza, NP, LCSW
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Medicare: Not Enrolled in Medicare
Practice Location: 1585 Kansas Ave, San Luis Obispo, CA 93405
Phone: 800-353-5400    
Lauren Elvira Mirabdollah, N.P.
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Medicare: Medicare Enrolled
Practice Location: 77 Casa St, Suite 201-204, San Luis Obispo, CA 93405
Phone: 805-269-1500    Fax: 805-269-1585
Michelle Alena Taylor, R.N., M.S.N., A.C.N.
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Medicare: Not Enrolled in Medicare
Practice Location: 1194 Pacific Street, Suite 100, San Luis Obispo, CA 93401
Phone: 805-781-9111    Fax: 805-788-0764
Michele L Day-brooks, RN/FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 705 Grand Ave, San Luis Obispo, CA 93401
Phone: 805-544-2478    
Jennifer Poe, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1250 Peach St Ste B, San Luis Obispo, CA 93401
Phone: 805-543-4043    Fax: 805-543-7640
Patricia M. Odum, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1555 Higuera St, San Luis Obispo, CA 93401
Phone: 805-543-4043    Fax: 805-543-4427

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.