Elizabeth Mary Medina, AG ACNP-BC - Medicare Nurse Practitioner in Burlingame, CA

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Elizabeth Mary Medina, AG ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Burlingame, California. Her current practice location is 1501 Trousdale Dr, Burlingame, California. You can reach out to her office (for appointments etc.) via phone at (650) 696-5400.

Elizabeth Mary Medina is licensed to practice in California (license number NP95009719) 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 1629549076.

Contact Information

Elizabeth Mary Medina, AG ACNP-BC
1501 Trousdale Dr,
Burlingame, CA 94010-4506
(650) 696-5400
Not Available

Map and Direction




Provider's Profile

Full NameElizabeth Mary Medina
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location1501 Trousdale Dr, Burlingame, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629549076
  • Provider Enumeration Date: 12/11/2018
  • Last Update Date: 01/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6305186149
  • Enrollment ID: I20190314000832

Medical Identifiers

Medical identifiers for Elizabeth Mary Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629549076NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care NP95009719 (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. Elizabeth Mary Medina allows following entities to bill medicare on her behalf.
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1982845186
PECOS PAC ID: 4284538778
Enrollment ID: O20090501000247
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1104067115
PECOS PAC ID: 4284538778
Enrollment ID: O20090501000456
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1497996524
PECOS PAC ID: 4284538778
Enrollment ID: O20090506000097
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1568851327
PECOS PAC ID: 4284538778
Enrollment ID: O20170927001545

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. Elizabeth Mary Medina 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 AddressPractice Location Address
Elizabeth Mary Medina, AG ACNP-BC
5 Piedmont St Apt 2,
San Francisco, CA 94117-4534

Ph: (628) 777-6191		Elizabeth Mary Medina, AG ACNP-BC
1501 Trousdale Dr,
Burlingame, CA 94010-4506

Ph: (650) 696-5400

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.