Katherine Rivas, FNP in Los Angeles, CA - Medicare Nurse Practitioner

Katherine Rivas, FNP is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. 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) 233-0425.

Katherine Rivas is licensed to practice in California (license number 95014221) 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 1861013344.

Contact Information

	Katherine Rivas, FNP
	4211 Avalon Blvd, Los Angeles, CA 90011-5622
	(323) 233-0425
	Not Available

Map and Direction

Provider's Profile

Full Name	Katherine Rivas
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4211 Avalon Blvd, 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: 1861013344
Provider Enumeration Date: 05/06/2020
Last Update Date: 05/06/2022

Medicare PECOS Information:

PECOS PAC ID: 7012383300
Enrollment ID: I20221011001604

Medical Identifiers

Medical identifiers for Katherine Rivas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861013344	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95014221 (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. Katherine Rivas 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

Entity Name	Somagen Healthcare Ii Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316225147 PECOS PAC ID: 4981877735 Enrollment ID: O20111024000461

Entity Name	Somagen Healthcare Iii Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558788620 PECOS PAC ID: 8921225830 Enrollment ID: O20140815001327

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. Katherine Rivas 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
Katherine Rivas, FNP Po Box 882052, Los Angeles, CA 90009-3020 Ph: () -	Katherine Rivas, FNP 4211 Avalon Blvd, Los Angeles, CA 90011-5622 Ph: (323) 233-0425

Reviews and Comments

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Katherine Rivas, FNP - Medicare Nurse Practitioner in Los Angeles, CA