Evelyn Wangsa, in Moreno Valley, CA - Medicare Nurse Practitioner

Evelyn Wangsa, is a medicare enrolled "Nurse Practitioner - Primary Care" in Moreno Valley, California. Her current practice location is 11441 Heacock St, Moreno Valley, California. You can reach out to her office (for appointments etc.) via phone at (562) 293-8777.

Evelyn Wangsa is licensed to practice in California (license number 95004913) 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 1407303753.

Contact Information

	Evelyn Wangsa,
	11441 Heacock St, Moreno Valley, CA 92557-7907
	(562) 293-8777
	Not Available

Map and Direction

Provider's Profile

Full Name	Evelyn Wangsa
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	11441 Heacock St, Moreno Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407303753
Provider Enumeration Date: 09/03/2016
Last Update Date: 09/03/2016

Medicare PECOS Information:

PECOS PAC ID: 6608294038
Enrollment ID: I20200916001111

Medical Identifiers

Medical identifiers for Evelyn Wangsa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407303753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95004913 (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. Evelyn Wangsa allows following entities to bill medicare on her behalf.

Entity Name	Housecall Doctors Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033164017 PECOS PAC ID: 6103802855 Enrollment ID: O20040624001654

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. Evelyn Wangsa 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
Evelyn Wangsa, 9518 Lower Azusa Rd, Temple City, CA 91780-4221 Ph: (562) 293-8777	Evelyn Wangsa, 11441 Heacock St, Moreno Valley, CA 92557-7907 Ph: (562) 293-8777

Reviews and Comments

Nurse Practitioner Nurses in Moreno Valley, CA

Lajean Avon Forbes, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12712 Heacock St, Suite 7, Moreno Valley, CA 92553 Phone: 951-924-6824 Fax: 951-601-9302
Susan Launa Weeks, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5162 Fax: 818-843-5224
Mfon-obong Nseuwa Etukudoh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12900 Frederick St Ste C, Moreno Valley, CA 92553 Phone: 888-743-7526
Magen Ashley Costilla, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26600 Cactus Ave Ste 300, Moreno Valley, CA 92555 Phone: 951-988-9500
Holly Vanderhyde, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12364 Perris Blvd, Moreno Valley, CA 92557 Phone: 605-209-6421
Mrs. Vanessa Renee Smith Constantino, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25970 Iris Ave Ste 3b, Moreno Valley, CA 92551 Phone: 951-924-2775
Lloydette H Brewah, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14934 Tarragon Way, Moreno Valley, CA 92553 Phone: 951-269-0542

Evelyn Wangsa, - Medicare Nurse Practitioner in Moreno Valley, CA