Cherisse Moreno, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pomona, California. Her current practice location is
5 Peppermill Ln, Pomona, California. You can reach out to her office (for appointments etc.) via phone at
(909) 816-2754.
Cherisse Moreno is licensed to practice in California (license number 95000388) 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 1427435064.
Provider's Profile
Full Name | Cherisse Moreno |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 5 Peppermill Ln, Pomona, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427435064
- Provider Enumeration Date: 05/04/2015
- Last Update Date: 12/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 1951605831
- Enrollment ID: I20160212002332
Medical Identifiers
Medical identifiers for Cherisse Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427435064 | NPI | - | NPPES |
1427435064 | Other | CA | NPI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 95000388 (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. Cherisse Moreno allows following entities to bill medicare on her behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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Entity Name | Glendora Anesthesia Associates Lp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750748331 PECOS PAC ID: 0143528216 Enrollment ID: O20160406001636 |
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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. Cherisse 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 |
Cherisse Moreno, 5 Peppermill Ln, Pomona, CA 91766-4718 Ph: (909) 816-2754 | Cherisse Moreno, 5 Peppermill Ln, Pomona, CA 91766-4718 Ph: (909) 816-2754 |
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