Jessica Tabares, in Los Angeles, CA - Medicare Nurse Practitioner

Jessica Tabares, is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 4211 Avalon Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 234-0616.

Jessica Tabares is licensed to practice in California (license number 768369) 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 1659921641.

Contact Information

	Jessica Tabares,
	4211 Avalon Blvd, Los Angeles, CA 90011-5622
	(323) 234-0616
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Tabares
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	4211 Avalon Blvd, Los Angeles, 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:

Jessica Tabares graduated from nursing school in 2019

NPI Data:

NPI Number: 1659921641
Provider Enumeration Date: 09/12/2019
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 4385051150
Enrollment ID: I20211202001941

Medical Identifiers

Medical identifiers for Jessica Tabares such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659921641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	768369 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	768369 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Jessica Tabares 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. Jessica Tabares 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
Jessica Tabares, 4211 Avalon Blvd, Los Angeles, CA 90011-5622 Ph: (323) 234-0616	Jessica Tabares, 4211 Avalon Blvd, Los Angeles, CA 90011-5622 Ph: (323) 234-0616

Reviews and Comments

Nurse Practitioner Nurses in Los Angeles, CA

Prof. Antoinette Zaragoza, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 S. Fetterly Ave, Roybal Comprehensive Chc, Los Angeles, CA 90022 Phone: 323-780-2216
Maria Del Carmen Castillo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 E 1st St, Los Angeles, CA 90063 Phone: 323-262-6935 Fax: 323-262-3109
Anna Teresa Mendoza Tsay, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3913 York Blvd, Los Angeles, CA 90065 Phone: 323-532-1900
Sherry Hefner Medrano, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 S Mathews St, Los Angeles, CA 90033 Phone: 323-780-6502 Fax: 323-780-6685
Miss Martha Emily Muriel, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2829 S Grand Ave, Room # 213, Los Angeles, CA 90007 Phone: 213-744-6120 Fax: 213-749-6601
Woosin Chung, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 N Vermont Ave Fl 2, Los Angeles, CA 90027 Phone: 213-220-9190
Maria Imelda Bautista-durand, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 S Flower St, Los Angeles, CA 90007 Phone: 213-742-1000

Jessica Tabares, - Medicare Nurse Practitioner in Los Angeles, CA