Jennina Manzano, FNP in South Pasadena, CA - Medicare Nurse Practitioner

Jennina Manzano, FNP is a medicare enrolled "Nurse Practitioner - Acute Care" in South Pasadena, California. Her current practice location is 209 Fair Oaks Ave, South Pasadena, California. You can reach out to her office (for appointments etc.) via phone at (626) 396-2900.

Jennina Manzano is licensed to practice in California (license number 95018170) 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 1467112623.

Contact Information

	Jennina Manzano, FNP
	209 Fair Oaks Ave, South Pasadena, CA 91030-1814
	(626) 396-2900
	(626) 799-2889

Map and Direction

Provider's Profile

Full Name	Jennina Manzano
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	209 Fair Oaks Ave, South Pasadena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467112623
Provider Enumeration Date: 12/29/2021
Last Update Date: 12/14/2023

Medicare PECOS Information:

PECOS PAC ID: 1052761293
Enrollment ID: I20231229001255

Medical Identifiers

Medical identifiers for Jennina Manzano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467112623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95018170 (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. Jennina Manzano allows following entities to bill medicare on her behalf.

Entity Name	City Of Hope Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871886366 PECOS PAC ID: 3779751656 Enrollment ID: O20110720000244

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. Jennina Manzano 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
Jennina Manzano, FNP Po Box 512185, Los Angeles, CA 90051-0185 Ph: () -	Jennina Manzano, FNP 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 Ph: (626) 396-2900

Reviews and Comments

Nurse Practitioner Nurses in South Pasadena, CA

Mr. Danny Lam, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 855 Monterey Rd, South Pasadena, CA 91030 Phone: 626-673-3650
Matthew Roy Isaacks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1714 Fair Oaks Ave Apt 3, South Pasadena, CA 91030 Phone: 714-642-0034
Gracie Ellen Jackson, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030 Phone: 626-441-4221
Cynthia Cruz-kuang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1936 Huntington Dr # C, South Pasadena, CA 91030 Phone: 626-288-4878
Josephine Villanueva Crisostomo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 726 1/2 Brent Ave, South Pasadena, CA 91030 Phone: 626-864-6871
George Lam, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 625 Fair Oaks Ave, South Pasadena, CA 91030 Phone: 626-441-4221 Fax: 626-799-1009

Jennina Manzano, FNP - Medicare Nurse Practitioner in South Pasadena, CA