Jennifer Miranda Vicente, NP - Medicare Nurse Practitioner in Lakewood, CA

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Jennifer Miranda Vicente, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Lakewood, California. Her current practice location is 3300 E South St Ste 205, Lakewood, California. You can reach out to her office (for appointments etc.) via phone at (562) 531-0377.

Jennifer Miranda Vicente is licensed to practice in California (license number NP95002008) 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 1235522483.

Contact Information

Jennifer Miranda Vicente, NP
3300 E South St Ste 205,
Lakewood, CA 90805-4587
(562) 531-0377
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Miranda Vicente
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location3300 E South St Ste 205, Lakewood, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235522483
  • Provider Enumeration Date: 03/12/2015
  • Last Update Date: 03/12/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2264724749
  • Enrollment ID: I20160630002016

Medical Identifiers

Medical identifiers for Jennifer Miranda Vicente such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235522483NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health NP95002008 (California)Primary
363LG0600XNurse Practitioner - Gerontology NP95002008 (California)Secondary

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. Jennifer Miranda Vicente allows following entities to bill medicare on her behalf.
Entity NameProhealth Partners, A Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003949975
PECOS PAC ID: 2769388412
Enrollment ID: O20031211000927

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. Jennifer Miranda Vicente 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
Jennifer Miranda Vicente, NP
6742 Glorywhite St,
Lakewood, CA 90713-2222

Ph: () -		Jennifer Miranda Vicente, NP
3300 E South St Ste 205,
Lakewood, CA 90805-4587

Ph: (562) 531-0377

Reviews and Comments


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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.