Jettele Joy D Lara, FNP-C - Medicare Nurse Practitioner in West Covina, CA

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Jettele Joy D Lara, FNP-C is a medicare enrolled "Nurse Practitioner - Pediatrics" in West Covina, California. Her current practice location is 1135 S Sunset Ave Ste 401, West Covina, California. You can reach out to her office (for appointments etc.) via phone at (626) 732-8393.

Jettele Joy D Lara is licensed to practice in California (license number 95019623) 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 1043931629.

Contact Information

Jettele Joy D Lara, FNP-C
1135 S Sunset Ave Ste 401,
West Covina, CA 91790-3921
(626) 732-8393
Not Available

Map and Direction




Provider's Profile

Full NameJettele Joy D Lara
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1135 S Sunset Ave Ste 401, West Covina, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043931629
  • Provider Enumeration Date: 09/12/2022
  • Last Update Date: 02/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9436512407
  • Enrollment ID: I20230824001722

Medical Identifiers

Medical identifiers for Jettele Joy D Lara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043931629NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 95019623 (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. Jettele Joy D Lara allows following entities to bill medicare on her behalf.
Entity NameEmanate Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326582743
PECOS PAC ID: 4981986866
Enrollment ID: O20170130001647
Entity NameEmanate Health Medical Care Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467195073
PECOS PAC ID: 9830544980
Enrollment ID: O20231011003976

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. Jettele Joy D Lara 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
Jettele Joy D Lara, FNP-C
1405 Partridge Ln,
Glendora, CA 91740-4529

Ph: (626) 347-2988		Jettele Joy D Lara, FNP-C
1135 S Sunset Ave Ste 401,
West Covina, CA 91790-3921

Ph: (626) 732-8393

Reviews and Comments


Nurse Practitioner Nurses in West Covina, CA

Mrs. Claire Marie Tabares, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1115 S Sunset Ave, West Covina, CA 91790
Phone: 626-814-2547    
Moses Ewo,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 933 S Sunset Ave Ste 105, West Covina, CA 91790
Phone: 714-709-3154    
Caroline Matibag Caspe, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1300 S Sunset Ave, West Covina, CA 91790
Phone: 626-960-6999    Fax: 626-960-5246
Ms. Shylee Bautista Tiamson, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 N Barranca St # 900-j, West Covina, CA 91791
Phone: 310-292-0117    
Mrs. Evangeline Baquiran Pelaez, ANP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 N Barranca St Ste 900, West Covina, CA 91791
Phone: 626-206-0523    Fax: 626-206-0553
Jacqueline Johnson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 S. Glendora Ave, West Covina, CA 91790
Phone: 616-250-5247    

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.