Dameelah Rose Carolina, in Los Angeles, CA - Medicare Advanced Practice Midwife

Dameelah Rose Carolina, is a medicare enrolled "Advanced Practice Midwife" in Los Angeles, California. Her current practice location is 1530 S Olive St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 747-5542.

Dameelah Rose Carolina is licensed to practice in * (Not Available) (license number ) 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 1467714519.

Contact Information

	Dameelah Rose Carolina,
	1530 S Olive St, Los Angeles, CA 90015-3023
	(213) 747-5542
	(213) 746-9379

Map and Direction

Provider's Profile

Full Name	Dameelah Rose Carolina
Gender	Female
Speciality	Advanced Practice Midwife
Location	1530 S Olive St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467714519
Provider Enumeration Date: 06/14/2012
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 8820225329
Enrollment ID: I20131206001568

Medical Identifiers

Medical identifiers for Dameelah Rose Carolina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467714519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	(* (Not Available))	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. Dameelah Rose Carolina 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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Dameelah Rose Carolina 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
Dameelah Rose Carolina, 1530 S Olive St, Los Angeles, CA 90015-3023 Ph: (213) 747-5542	Dameelah Rose Carolina, 1530 S Olive St, Los Angeles, CA 90015-3023 Ph: (213) 747-5542

Reviews and Comments

Advanced Practice Midwife Nurses in Los Angeles, CA

Jacqueline A Rice, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000
Susan Huser, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, Cedars Sinai Medical Center, Los Angeles, CA 90048 Phone: 310-967-8625
Tamarind Hopper, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1513 S Grand Ave, Los Angeles, CA 90015 Phone: 213-746-1037
Elizabeth Diane Jenkins, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1530 S Olive St, Los Angeles, CA 90015 Phone: 213-746-1037 Fax: 213-746-9379
Dr. Anita Renau Bralock, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1080 N Western Ave, Los Angeles, CA 90029 Phone: 323-957-3737 Fax: 323-957-8777
Ms. Joyce E Okeneme, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 12021 Wilmington Ave, Los Angeles, CA 90059 Phone: 310-668-4515 Fax: 310-763-8909
Jennifer Horch, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 12304 Santa Monica Blvd, Suite 112, Los Angeles, CA 90025 Phone: 310-820-8084 Fax: 310-820-5738

Dameelah Rose Carolina, - Medicare Advanced Practice Midwife in Los Angeles, CA