Genna A Teodosio, in Granada Hills, CA - Medicare Registered Nurse

Genna A Teodosio, is a medicare enrolled "Registered Nurse" in Granada Hills, California. Her current practice location is 15911 San Fernando Mission Blvd, Granada Hills, California. You can reach out to her office (for appointments etc.) via phone at (661) 319-6662.

Genna A Teodosio is licensed to practice in California (license number 95096619) 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 1689422214.

Contact Information

	Genna A Teodosio,
	15911 San Fernando Mission Blvd, Granada Hills, CA 91344-3934
	(661) 319-6662
	Not Available

Map and Direction

Provider's Profile

Full Name	Genna A Teodosio
Gender	Female
Speciality	Registered Nurse
Location	15911 San Fernando Mission Blvd, Granada Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689422214
Provider Enumeration Date: 05/08/2024
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 3577007202
Enrollment ID: I20240704000600

Medical Identifiers

Medical identifiers for Genna A Teodosio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689422214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95096619 (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. Genna A Teodosio allows following entities to bill medicare on her behalf.

Entity Name	Izuchukwu Okpara Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679004592 PECOS PAC ID: 1052698966 Enrollment ID: O20170502002135

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. Genna A Teodosio 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
Genna A Teodosio, 15911 San Fernando Mission Blvd, Granada Hills, CA 91344-3934 Ph: (661) 319-6662	Genna A Teodosio, 15911 San Fernando Mission Blvd, Granada Hills, CA 91344-3934 Ph: (661) 319-6662

Reviews and Comments

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Genna A Teodosio, - Medicare Registered Nurse in Granada Hills, CA