Joseph Ralph Piccola, in Long Beach, CA - Medicare Nurse Practitioner

Joseph Ralph Piccola, is a medicare enrolled "Nurse Practitioner - Family" in Long Beach, California. His current practice location is 123 Atlantic Ave, Long Beach, California. You can reach out to his office (for appointments etc.) via phone at (562) 726-1383.

Joseph Ralph Piccola is licensed to practice in California (license number 95002075) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508253642.

Contact Information

	Joseph Ralph Piccola,
	123 Atlantic Ave, Long Beach, CA 90802-5121
	(562) 726-1383
	Not Available

Map and Direction

Provider's Profile

Full Name	Joseph Ralph Piccola
Gender	Male
Speciality	Nurse Practitioner - Family
Location	123 Atlantic Ave, 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: 1508253642
Provider Enumeration Date: 04/15/2015
Last Update Date: 04/15/2015

Medicare PECOS Information:

PECOS PAC ID: 4587972310
Enrollment ID: I20150929000449

Medical Identifiers

Medical identifiers for Joseph Ralph Piccola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508253642	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95002075 (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. Joseph Ralph Piccola allows following entities to bill medicare on his behalf.

Entity Name	Mission Viejo Emergency Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073542916 PECOS PAC ID: 2163335241 Enrollment ID: O20031106000308

Entity Name	Mission Viejo Emergency Medical Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134355597 PECOS PAC ID: 7315090271 Enrollment ID: O20090725000046

Entity Name	Spectrum Emergency Physicians Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831783729 PECOS PAC ID: 6103233705 Enrollment ID: O20210326001500

Entity Name	Anaheim Emergency Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114626017 PECOS PAC ID: 9133585029 Enrollment ID: O20230518003235

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. Joseph Ralph Piccola 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
Joseph Ralph Piccola, 47 Firwood, Irvine, CA 92604-4633 Ph: (775) 720-7167	Joseph Ralph Piccola, 123 Atlantic Ave, Long Beach, CA 90802-5121 Ph: (562) 726-1383

Reviews and Comments

Nurse Practitioner Nurses in Long Beach, CA

Mrs. Elisha Marie Martin, MSN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 310-350-8902
Ms. Eunice N Bisong, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Hughes Way Ste 150, Long Beach, CA 90810 Phone: 310-221-6336
Michael Thomas Fabian, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Hughes Way Ste 150, Long Beach, CA 90810 Phone: 310-221-6336 Fax: 916-703-6547
Mia Spinelli Loftus, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 E 28th St Ste 419, Long Beach, CA 90806 Phone: 562-490-9900
Christine Marie Moak, AGACNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3060 Mcnab Ave, Long Beach, CA 90808 Phone: 562-277-4741
Mrs. Christine Uy Titensky, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 E 28th St Ste 301, Long Beach, CA 90806 Phone: 562-269-0300
Mr. Alvaro Gonzales Botello, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Atlantic Ave Suite 715, Long Beach, CA 90813 Phone: 562-983-5496 Fax: 562-432-1864

Joseph Ralph Piccola, - Medicare Nurse Practitioner in Long Beach, CA