Carlos Adolfo Moreno, NP in Los Angeles, CA - Medicare Nurse Practitioner

Carlos Adolfo Moreno, NP is a medicare enrolled "Nurse Practitioner" in Los Angeles, California. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 635 S Westlake Ave Ste 101, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 674-7769.

Carlos Adolfo Moreno is licensed to practice in California (license number 95005615) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093251233.

Contact Information

	Carlos Adolfo Moreno, NP
	635 S Westlake Ave Ste 101, Los Angeles, CA 90057-3525
	(213) 674-7769
	Not Available

Map and Direction

Provider's Profile

Full Name	Carlos Adolfo Moreno
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	635 S Westlake Ave Ste 101, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carlos Adolfo Moreno graduated from nursing school in 2016

NPI Data:

NPI Number: 1093251233
Provider Enumeration Date: 01/11/2017
Last Update Date: 09/02/2023

Medicare PECOS Information:

PECOS PAC ID: 7719257245
Enrollment ID: I20170717001717

Medical Identifiers

Medical identifiers for Carlos Adolfo Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093251233	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95005615 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Carlos Adolfo Moreno allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Carlos Adolfo Moreno 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
Carlos Adolfo Moreno, NP 635 S Westlake Ave Ste 101, Los Angeles, CA 90057-3525 Ph: (213) 674-7769	Carlos Adolfo Moreno, NP 635 S Westlake Ave Ste 101, Los Angeles, CA 90057-3525 Ph: (213) 674-7769

Reviews and Comments

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Maria Imelda Bautista-durand, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 S Flower St, Los Angeles, CA 90007 Phone: 213-742-1000

Carlos Adolfo Moreno, NP - Medicare Nurse Practitioner in Los Angeles, CA