Jenise Han, NPC in Harbor City, CA - Medicare Nurse Practitioner

Jenise Han, NPC is a medicare enrolled "Nurse Practitioner" in Harbor City, California. Her current practice location is 25825 Vermont Ave, Harbor City, California. You can reach out to her office (for appointments etc.) via phone at (310) 517-2990.

Jenise Han is licensed to practice in California (license number 12621) 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 1194870519.

Contact Information

	Jenise Han, NPC
	25825 Vermont Ave, Harbor City, CA 90710-3518
	(310) 517-2990
	Not Available

Map and Direction

Provider's Profile

Full Name	Jenise Han
Gender	Female
Speciality	Nurse Practitioner
Location	25825 Vermont Ave, Harbor City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194870519
Provider Enumeration Date: 01/24/2007
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 3577621234
Enrollment ID: I20081023000864

Medical Identifiers

Medical identifiers for Jenise Han such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194870519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	12621 (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. Jenise Han allows following entities to bill medicare on her behalf.

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

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. Jenise Han 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
Jenise Han, NPC 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 517-2990	Jenise Han, NPC 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 517-2990

Reviews and Comments

Nurse Practitioner Nurses in Harbor City, CA

Angelita Domingo Bueno, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1403 Lomita Blvd, Harbor City, CA 90710 Phone: 310-784-5800 Fax: 310-530-9811
Rosemary Fleming, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Christina Cortez Van Guyse, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Rose S Hurowitz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Renee D Wright, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Michelle Neal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Janice M Boyk, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111

Jenise Han, NPC - Medicare Nurse Practitioner in Harbor City, CA