Jamilla K Churchill, in San Leandro, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Jamilla K Churchill, is a medicare enrolled "Registered Nurse" in San Leandro, California. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Regents Of The University Of California and her current practice location is 577 E Merle Ct, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at (510) 508-5219.

Jamilla K Churchill is licensed to practice in California (license number 95000678) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134672124.

Contact Information

	Jamilla K Churchill,
	577 E Merle Ct, San Leandro, CA 94577-2036
	(510) 508-5219
	Not Available

Map and Direction

Provider's Profile

Full Name	Jamilla K Churchill
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	8 Years
Location	577 E Merle Ct, San Leandro, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jamilla K Churchill graduated from nursing school in 2016

NPI Data:

NPI Number: 1134672124
Provider Enumeration Date: 07/26/2016
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 5395021398
Enrollment ID: I20170405001607

Medical Identifiers

Medical identifiers for Jamilla K Churchill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134672124	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95000678 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ronald Reagan Ucla Medical Center	Los angeles, CA	Hospital
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital	Santa monica, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regents Of The University Of California	8527971316	220

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. Jamilla K Churchill allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326096165 PECOS PAC ID: 8527971316 Enrollment ID: O20031107000404

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Martin Luther King Jr Community Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311

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. Jamilla K Churchill 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
Jamilla K Churchill, 577 E Merle Ct, San Leandro, CA 94577-2036 Ph: () -	Jamilla K Churchill, 577 E Merle Ct, San Leandro, CA 94577-2036 Ph: (510) 508-5219

Reviews and Comments

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Jonathan Thomas Bento I, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444

Jamilla K Churchill, - Medicare Certified Registered Nurse Anesthetist (crna) in San Leandro, CA