Ms Jessica Gonzalez-rangel, PHMNP in Los Angeles, CA

Ms Jessica Gonzalez-rangel, PHMNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Los Angeles, California. Her current practice location is 12021 Wilmington Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (562) 295-4617.

Ms Jessica Gonzalez-rangel is licensed to practice in California (license number 95006856) 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 1720276884.

Contact Information

	Ms Jessica Gonzalez-rangel, PHMNP
	12021 Wilmington Ave, Los Angeles, CA 90059-3019
	(562) 295-4617
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Jessica Gonzalez-rangel
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12021 Wilmington Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720276884
Provider Enumeration Date: 10/12/2007
Last Update Date: 12/02/2021

Medicare PECOS Information:

PECOS PAC ID: 2769738665
Enrollment ID: I20180707000093

Medical Identifiers

Medical identifiers for Ms Jessica Gonzalez-rangel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720276884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95006856 (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. Ms Jessica Gonzalez-rangel 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

Entity Name	Telecare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720164882 PECOS PAC ID: 6901820380 Enrollment ID: O20070614000167

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. Ms Jessica Gonzalez-rangel 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
Ms Jessica Gonzalez-rangel, PHMNP 2081 Palos Verdes Dr N, Lomita, CA 90717-3701 Ph: (310) 325-6542	Ms Jessica Gonzalez-rangel, PHMNP 12021 Wilmington Ave, Los Angeles, CA 90059-3019 Ph: (562) 295-4617

Reviews and Comments

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Ms Jessica Gonzalez-rangel, PHMNP - Medicare Nurse Practitioner in Los Angeles, CA