Eladio Mariano Lacsamana Tizon, NP in La Habra, CA

Eladio Mariano Lacsamana Tizon, NP is a medicare enrolled "Nurse Practitioner" in La Habra, California. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Integrative Urgent Care, Inc. and his current practice location is 1040 W Imperial Hwy Ste D, La Habra, California. You can reach out to his office (for appointments etc.) via phone at (714) 451-1072.

Eladio Mariano Lacsamana Tizon is licensed to practice in California (license number 23647) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073939781.

Contact Information

	Eladio Mariano Lacsamana Tizon, NP
	1040 W Imperial Hwy Ste D, La Habra, CA 90631-0608
	(714) 451-1072
	(714) 451-1078

Map and Direction

Provider's Profile

Full Name	Eladio Mariano Lacsamana Tizon
Gender	Male
Speciality	Nurse Practitioner
Experience	13 Years
Location	1040 W Imperial Hwy Ste D, La Habra, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Eladio Mariano Lacsamana Tizon graduated from nursing school in 2011

NPI Data:

NPI Number: 1073939781
Provider Enumeration Date: 03/06/2014
Last Update Date: 04/24/2019

Medicare PECOS Information:

PECOS PAC ID: 0244554335
Enrollment ID: I20150120002140

Medical Identifiers

Medical identifiers for Eladio Mariano Lacsamana Tizon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073939781	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	23647 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Integrative Urgent Care, Inc.	4981992807	4

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. Eladio Mariano Lacsamana Tizon allows following entities to bill medicare on his behalf.

Entity Name	Marcel S Filart Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518389360 PECOS PAC ID: 4688623515 Enrollment ID: O20050118001073

Entity Name	Smartclinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881828317 PECOS PAC ID: 7810037033 Enrollment ID: O20091221000168

Entity Name	Orange County Urgent Care #3, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497001200 PECOS PAC ID: 2062667306 Enrollment ID: O20130312000517

Entity Name	Integrative Urgent Care, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235684960 PECOS PAC ID: 4981992807 Enrollment ID: O20161010001250

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. Eladio Mariano Lacsamana Tizon 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
Eladio Mariano Lacsamana Tizon, NP 19016 Shakespeare Dr, Walnut, CA 91789-4239 Ph: (626) 641-2072	Eladio Mariano Lacsamana Tizon, NP 1040 W Imperial Hwy Ste D, La Habra, CA 90631-0608 Ph: (714) 451-1072

Reviews and Comments

Nurse Practitioner Nurses in La Habra, CA

Ms. Marlaine Skaggs, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 S Harbor Blvd, Suite E 163, La Habra, CA 90631 Phone: 714-733-3849
Linda Douglass, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1651 W El Portal Dr, La Habra, CA 90631 Phone: 562-857-2565
Vivian Shi, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 S Idaho St, La Habra, CA 90631 Phone: 562-690-0400
Annie Marie Ferrer, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2301 W La Habra Blvd Apt 4, La Habra, CA 90631 Phone: 310-940-3390
Mrs. Linda C Reyes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1160 Cheri Dr, La Habra, CA 90631 Phone: 951-201-7075 Fax: 562-365-3501
Marzieh Simonton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 921 Donnybrook Ave, La Habra, CA 90631 Phone: 714-623-5552

Eladio Mariano Lacsamana Tizon, NP - Medicare Nurse Practitioner in La Habra, CA