Kaitlynn Menjo, NP, RN in Los Angeles, CA - Medicare Nurse Practitioner

Kaitlynn Menjo, NP, RN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Los Angeles, California. Her current practice location is 808 W 58th St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 541-1600.

Kaitlynn Menjo is licensed to practice in California (license number 95015021) 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 1942808654.

Contact Information

	Kaitlynn Menjo, NP, RN
	808 W 58th St, Los Angeles, CA 90037-3632
	(323) 541-1600
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaitlynn Menjo
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	808 W 58th St, 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: 1942808654
Provider Enumeration Date: 10/14/2020
Last Update Date: 10/14/2020

Medicare PECOS Information:

PECOS PAC ID: 9032510730
Enrollment ID: I20210701003034

Medical Identifiers

Medical identifiers for Kaitlynn Menjo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942808654	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	95015021 (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. Kaitlynn Menjo allows following entities to bill medicare on her behalf.

Entity Name	St Johns Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434

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. Kaitlynn Menjo 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
Kaitlynn Menjo, NP, RN 4803 Hersholt Ave, Long Beach, CA 90808-1130 Ph: () -	Kaitlynn Menjo, NP, RN 808 W 58th St, Los Angeles, CA 90037-3632 Ph: (323) 541-1600

Reviews and Comments

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Kaitlynn Menjo, NP, RN - Medicare Nurse Practitioner in Los Angeles, CA