Diana R Pena, PMHNP in Winnetka, CA - Medicare Nurse Practitioner

Diana R Pena, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Winnetka, California. Her current practice location is 20132 Lanark St, Winnetka, California. You can reach out to her office (for appointments etc.) via phone at (386) 216-6302.

Diana R Pena is licensed to practice in California (license number 95022827) 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 1053035477.

Contact Information

	Diana R Pena, PMHNP
	20132 Lanark St, Winnetka, CA 91306-1836
	(386) 216-6302
	Not Available

Map and Direction

Provider's Profile

Full Name	Diana R Pena
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	20132 Lanark St, Winnetka, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053035477
Provider Enumeration Date: 09/29/2022
Last Update Date: 09/29/2022

Medicare PECOS Information:

PECOS PAC ID: 9234501180
Enrollment ID: I20230202002229

Medical Identifiers

Medical identifiers for Diana R Pena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053035477	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95022827 (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. Diana R Pena allows following entities to bill medicare on her behalf.

Entity Name	K Somanath Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649998022 PECOS PAC ID: 8022488469 Enrollment ID: O20221230000233

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. Diana R Pena 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
Diana R Pena, PMHNP 20132 Lanark St, Winnetka, CA 91306-1836 Ph: (386) 216-6302	Diana R Pena, PMHNP 20132 Lanark St, Winnetka, CA 91306-1836 Ph: (386) 216-6302

Reviews and Comments

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Diana R Pena, PMHNP - Medicare Nurse Practitioner in Winnetka, CA