Connie Hermogeno, FNP in Los Angeles, CA - Medicare Nurse Practitioner

Connie Hermogeno, FNP is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 1701 Cesar Chavez Suite 354, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 221-5366.

Connie Hermogeno is licensed to practice in California (license number 17453) 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 1124286018.

Contact Information

	Connie Hermogeno, FNP
	1701 Cesar Chavez Suite 354, Los Angeles, CA 90033
	(323) 221-5366
	(323) 221-5473

Map and Direction

Provider's Profile

Full Name	Connie Hermogeno
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	1701 Cesar Chavez Suite 354, Los Angeles, 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:

Connie Hermogeno graduated from nursing school in 2007

NPI Data:

NPI Number: 1124286018
Provider Enumeration Date: 05/28/2008
Last Update Date: 12/02/2021

Medicare PECOS Information:

PECOS PAC ID: 6406986009
Enrollment ID: I20100608000698

Medical Identifiers

Medical identifiers for Connie Hermogeno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124286018	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	17453 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Los Angeles	Los angeles, CA	Hospital

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. Connie Hermogeno allows following entities to bill medicare on her 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. Connie Hermogeno 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
Connie Hermogeno, FNP 1701 Cesar Chavez Suite 354, Los Angeles, CA 90033 Ph: (323) 221-5366	Connie Hermogeno, FNP 1701 Cesar Chavez Suite 354, Los Angeles, CA 90033 Ph: (323) 221-5366

Reviews and Comments

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Connie Hermogeno, FNP - Medicare Nurse Practitioner in Los Angeles, CA