Jevangeline Co-vivo, in Long Beach, CA - Medicare Nurse Practitioner

Jevangeline Co-vivo, is a medicare enrolled "Nurse Practitioner - Family" in Long Beach, California. Her current practice location is 233 E Willow St, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (562) 989-9868.

Jevangeline Co-vivo is licensed to practice in California (license number 95024255) 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 1134827868.

Contact Information

	Jevangeline Co-vivo,
	233 E Willow St, Long Beach, CA 90806-2623
	(562) 989-9868
	Not Available

Map and Direction

Provider's Profile

Full Name	Jevangeline Co-vivo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	233 E Willow St, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134827868
Provider Enumeration Date: 02/22/2023
Last Update Date: 10/25/2024

Medicare PECOS Information:

PECOS PAC ID: 8426423070
Enrollment ID: I20230414001760

Medical Identifiers

Medical identifiers for Jevangeline Co-vivo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134827868	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95024255 (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. Jevangeline Co-vivo allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Medical Group Of California Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289

Entity Name	Minuteclinic Diagnostic Medical Group Of Orange County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214

Entity Name	Minuteclinic Diagnostic Medical Group Of San Diego Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249

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. Jevangeline Co-vivo 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
Jevangeline Co-vivo, 233 E Willow St, Long Beach, CA 90806-2623 Ph: () -	Jevangeline Co-vivo, 233 E Willow St, Long Beach, CA 90806-2623 Ph: (562) 989-9868

Reviews and Comments

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Jevangeline Co-vivo, - Medicare Nurse Practitioner in Long Beach, CA