Darlene Mulyanto-mong, in Los Angeles, CA - Medicare Nurse Practitioner

Darlene Mulyanto-mong, is a medicare enrolled "Nurse Practitioner - Acute Care" in Los Angeles, California. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Usc Care Medical Group Inc and her current practice location is 1500 San Pablo St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (800) 872-2273.

Darlene Mulyanto-mong is licensed to practice in California (license number 95004975) 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 1255873717.

Contact Information

	Darlene Mulyanto-mong,
	1500 San Pablo St, Los Angeles, CA 90033-5313
	(800) 872-2273
	Not Available

Map and Direction

Provider's Profile

Full Name	Darlene Mulyanto-mong
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1500 San Pablo St, 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:

Darlene Mulyanto-mong graduated from nursing school in 2016

NPI Data:

NPI Number: 1255873717
Provider Enumeration Date: 11/14/2016
Last Update Date: 09/28/2022

Medicare PECOS Information:

PECOS PAC ID: 9335420710
Enrollment ID: I20161222000854

Medical Identifiers

Medical identifiers for Darlene Mulyanto-mong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255873717	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95004975 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Keck Hospital Of Usc	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Usc Care Medical Group Inc	0446157747	1142

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. Darlene Mulyanto-mong allows following entities to bill medicare on her behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

Entity Name	Prohealth Partners, A Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003949975 PECOS PAC ID: 2769388412 Enrollment ID: O20031211000927

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

Entity Name	Willow Brook Critical Care Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811520224 PECOS PAC ID: 3476975319 Enrollment ID: O20200622002378

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. Darlene Mulyanto-mong 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
Darlene Mulyanto-mong, 336 N Isabel St Apt 7, Glendale, CA 91206-3675 Ph: () -	Darlene Mulyanto-mong, 1500 San Pablo St, Los Angeles, CA 90033-5313 Ph: (800) 872-2273

Reviews and Comments

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Miss Martha Emily Muriel, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2829 S Grand Ave, Room # 213, Los Angeles, CA 90007 Phone: 213-744-6120 Fax: 213-749-6601
Woosin Chung, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 N Vermont Ave Fl 2, Los Angeles, CA 90027 Phone: 213-220-9190
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

Darlene Mulyanto-mong, - Medicare Nurse Practitioner in Los Angeles, CA