Ivory Adanza, in Stockton, CA - Medicare Nurse Practitioner

Ivory Adanza, is a medicare enrolled "Nurse Practitioner - Occupational Health" in Stockton, California. Her current practice location is 1801 E March Ln Ste D480, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 954-3200.

Ivory Adanza is licensed to practice in California (license number 95001966) 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 1053702159.

Contact Information

	Ivory Adanza,
	1801 E March Ln Ste D480, Stockton, CA 95210-6681
	(209) 954-3200
	Not Available

Map and Direction

Provider's Profile

Full Name	Ivory Adanza
Gender	Female
Speciality	Nurse Practitioner - Occupational Health
Location	1801 E March Ln Ste D480, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053702159
Provider Enumeration Date: 02/10/2015
Last Update Date: 02/10/2015

Medicare PECOS Information:

PECOS PAC ID: 4880047430
Enrollment ID: I20240130002992

Medical Identifiers

Medical identifiers for Ivory Adanza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053702159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0106X	Nurse Practitioner - Occupational Health	95001966 (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. Ivory Adanza allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Ivory Adanza 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
Ivory Adanza, 1801 E March Ln Ste D480, Stockton, CA 95210-6681 Ph: (209) 954-3200	Ivory Adanza, 1801 E March Ln Ste D480, Stockton, CA 95210-6681 Ph: (209) 954-3200

Reviews and Comments

Nurse Practitioner Nurses in Stockton, CA

Yuko Motooka-halseth, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 E March Ln Ste D470, Stockton, CA 95210 Phone: 209-507-7027 Fax: 209-762-6808
Harmanpreet Kaur, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 E Harding Way, Stockton, CA 95204 Phone: 209-944-5750
Rex Ambatali Jr., FNP-C, CVNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2633 Pacific Ave, Stockton, CA 95204 Phone: 209-944-5530
Mrs. Deborah Kay Hastie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207 Phone: 209-952-5555 Fax: 209-952-1907
Mrs. Ketty Ukpong Uweh, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 E Harding Way Ste B, Stockton, CA 95204 Phone: 209-244-9191 Fax: 209-244-9190
Dr. Joan S Rubinger, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2488 N California St, C/o R Winter Md, Stockton, CA 95204 Phone: 209-518-5051
Lisa Hansen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 89 W March Ln, Suite #1, Stockton, CA 95207 Phone: 209-478-2622 Fax: 209-870-2754

Ivory Adanza, - Medicare Nurse Practitioner in Stockton, CA