Ericson P Reyes, in Lakewood, CA - Medicare Nurse Practitioner

Ericson P Reyes, is a medicare enrolled "Nurse Practitioner" in Lakewood, California. His current practice location is 3300 E South St Ste 308, Lakewood, California. You can reach out to his office (for appointments etc.) via phone at (562) 630-3111.

Ericson P Reyes is licensed to practice in California (license number NP15834) 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 1740397413.

Contact Information

	Ericson P Reyes,
	3300 E South St Ste 308, Lakewood, CA 90805-4598
	(562) 630-3111
	(562) 630-3107

Map and Direction

Provider's Profile

Full Name	Ericson P Reyes
Gender	Male
Speciality	Nurse Practitioner
Location	3300 E South St Ste 308, Lakewood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740397413
Provider Enumeration Date: 08/25/2006
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 9739187907
Enrollment ID: I20061122000233

Medical Identifiers

Medical identifiers for Ericson P Reyes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740397413	NPI	-	NPPES
NP15834	Other	CA	NURSE PRACTITIONER LICENS
515085	Other	CA	RN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP15834 (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. Ericson P Reyes allows following entities to bill medicare on his behalf.

Entity Name	Southland Renal Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730110495 PECOS PAC ID: 3476580838 Enrollment ID: O20050718001019

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. Ericson P Reyes 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
Ericson P Reyes, Po Box 879, Lakewood, CA 90714-0879 Ph: (562) 630-3111	Ericson P Reyes, 3300 E South St Ste 308, Lakewood, CA 90805-4598 Ph: (562) 630-3111

Reviews and Comments

Nurse Practitioner Nurses in Lakewood, CA

Susan Long, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 E South St Ste 308, Lakewood, CA 90805 Phone: 562-630-3111
Phillip Neri Aguilar, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6010 Briercrest Ave, Lakewood, CA 90713 Phone: 562-644-6090
Lilibeth Salazar, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 E South St Ste 206, Lakewood, CA 90805 Phone: 562-232-2380
Ms. Alexandra Gensemer, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 South St, Lakewood, CA 90712 Phone: 562-602-6800
Mrs. Ivy Oliveros Caparroso, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4222 Conquista Ave, Lakewood, CA 90713 Phone: 310-938-8737
Lucetta Waiying Chiu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3650 South St Ste 210, Lakewood, CA 90712 Phone: 562-630-0910
Jean Michelle Mendiola Mayuga, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5424 Woodruff Ave, Lakewood, CA 90713 Phone: 562-452-0038

Ericson P Reyes, - Medicare Nurse Practitioner in Lakewood, CA