Ellison Pua Concepcion, CRNA MSN - Medicare Nurse Anesthetist, Certified Registered in Los Angeles, CA

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Ellison Pua Concepcion, CRNA MSN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Los Angeles, California. His current practice location is 6041 Cadillac Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 857-2000.

Ellison Pua Concepcion is licensed to practice in California (license number 95000804) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689187858.

Contact Information

Ellison Pua Concepcion, CRNA MSN
6041 Cadillac Ave,
Los Angeles, CA 90034-1702
(323) 857-2000
Not Available

Map and Direction




Provider's Profile

Full NameEllison Pua Concepcion
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location6041 Cadillac Ave, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689187858
  • Provider Enumeration Date: 11/09/2017
  • Last Update Date: 12/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9739412719
  • Enrollment ID: I20190605003164

Medical Identifiers

Medical identifiers for Ellison Pua Concepcion such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689187858NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 95000804 (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. Ellison Pua Concepcion allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameNorthridge Pain Management Specialists Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972683555
PECOS PAC ID: 5799684866
Enrollment ID: O20040107000813
Entity NameAdvanced Anesthesia Specialists A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871733600
PECOS PAC ID: 0042340705
Enrollment ID: O20100608000088
Entity NameRadiance Anesthesia Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790038883
PECOS PAC ID: 3476876434
Enrollment ID: O20141223001289
Entity NameAxiom Anesthesia A Professional Nursing Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760150155
PECOS PAC ID: 5395133326
Enrollment ID: O20211025002427
Entity NameJeffrey Hua Crna Nursing Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285373209
PECOS PAC ID: 2365820867
Enrollment ID: O20220610001807
Entity NameSynergy Anesthesia A Professional Nursing Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578283305
PECOS PAC ID: 1850761115
Enrollment ID: O20221230001747
Entity NameEllison Concepcion Nursing Anesthesiology Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346092442
PECOS PAC ID: 2961842554
Enrollment ID: O20240430001710

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. Ellison Pua Concepcion 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
Ellison Pua Concepcion, CRNA MSN
6041 Cadillac Ave,
Los Angeles, CA 90034-1702

Ph: () -		Ellison Pua Concepcion, CRNA MSN
6041 Cadillac Ave,
Los Angeles, CA 90034-1702

Ph: (323) 857-2000

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.