Iliana Baltazar, NURSE PRACTITIONER - Medicare Nurse Practitioner in Covina, CA

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Iliana Baltazar, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Covina, California. Her current practice location is 158 W College St, Covina, California. You can reach out to her office (for appointments etc.) via phone at (626) 859-2522.

Iliana Baltazar is licensed to practice in California (license number 95014627) 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 1528655610.

Contact Information

Iliana Baltazar, NURSE PRACTITIONER
158 W College St,
Covina, CA 91723-2064
(626) 859-2522
(626) 331-0205

Map and Direction




Provider's Profile

Full NameIliana Baltazar
GenderFemale
SpecialityNurse Practitioner - Family
Location158 W College St, Covina, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528655610
  • Provider Enumeration Date: 12/23/2020
  • Last Update Date: 12/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8224569090
  • Enrollment ID: I20241003002398

Medical Identifiers

Medical identifiers for Iliana Baltazar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528655610NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95014627 (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. Iliana Baltazar allows following entities to bill medicare on her behalf.
Entity NameUniversal Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376632877
PECOS PAC ID: 2365332368
Enrollment ID: O20040315001597
Entity NameMolina Healthcare Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194811760
PECOS PAC ID: 7517957608
Enrollment ID: O20061101000348
Entity NameCentral Health Plan Of California, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386714772
PECOS PAC ID: 7416395736
Enrollment ID: O20240405001559

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. Iliana Baltazar 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
Iliana Baltazar, NURSE PRACTITIONER
158 W College St,
Covina, CA 91723-2064

Ph: () -		Iliana Baltazar, NURSE PRACTITIONER
158 W College St,
Covina, CA 91723-2064

Ph: (626) 859-2522

Reviews and Comments


Nurse Practitioner Nurses in Covina, CA

Maria Theresa Lee Belonio, RN
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Phone: 626-331-8001    
Na Yeon Han, FNP
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Phone: 626-859-6400    
Mrs. Manmit Kaur Anand, FNP-C
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Practice Location: 20540 E Arrow Hwy Ste A, Covina, CA 91724
Phone: 626-513-7497    Fax: 626-513-7497
Stephanie Huynh,
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Practice Location: 235 E Badillo St, Covina, CA 91723
Phone: 626-915-4700    
Laura Jimenez, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 420 W Rowland St, Covina, CA 91723
Phone: 626-331-6411    Fax: 626-251-1560
Benjamin Herrick, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 210 W San Bernardino Rd, Covina, CA 91723
Phone: 626-331-7331    
Bethany Shavon Sims, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 500 W San Bernardino Rd Ste B, Covina, CA 91722
Phone: 626-960-2326    

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.