Beverly Miriam Maldonado, CNM is a medicare enrolled "Advanced Practice Midwife" in Antioch, California. Her current practice location is
4053 Lone Tree Way, Antioch, California. You can reach out to her office (for appointments etc.) via phone at
(925) 756-3400.
Beverly Miriam Maldonado is licensed to practice in California (license number CNM04990) 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 1477032027.
Provider's Profile
| Full Name | Beverly Miriam Maldonado |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 4053 Lone Tree Way, Antioch, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1477032027
- Provider Enumeration Date: 08/13/2018
- Last Update Date: 11/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133463599
- Enrollment ID: I20181212000623
Medical Identifiers
Medical identifiers for Beverly Miriam Maldonado such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477032027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | CNM04990 (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. Beverly Miriam Maldonado allows following entities to bill medicare on her behalf.
| Entity Name | Simmonds Martin & Helmbrecht Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1558411934
PECOS PAC ID: 7012985492
Enrollment ID: O20040923000131 |
|---|
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. Beverly Miriam Maldonado 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 |
|---|
Beverly Miriam Maldonado, CNM
325 Distel Cir,
Los Altos, CA 94022-1408
Ph: (925) 756-3400 | Beverly Miriam Maldonado, CNM
4053 Lone Tree Way,
Antioch, CA 94531-6210
Ph: (925) 756-3400 |
Reviews and Comments