Letecia A Neilson, NURSE PRACTITIONER in Los Angeles, CA

Letecia A Neilson, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Pediatrics" in Los Angeles, California. Her current practice location is 1530 S Olive St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 747-5542.

Letecia A Neilson is licensed to practice in California (license number 17890) 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 1235309279.

Contact Information

	Letecia A Neilson, NURSE PRACTITIONER
	1530 S Olive St, Los Angeles, CA 90015-3023
	(213) 747-5542
	Not Available

Map and Direction

Provider's Profile

Full Name	Letecia A Neilson
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1530 S Olive 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: 1235309279
Provider Enumeration Date: 03/05/2008
Last Update Date: 06/27/2014

Medicare PECOS Information:

PECOS PAC ID: 2365708989
Enrollment ID: I20171114002088

Medical Identifiers

Medical identifiers for Letecia A Neilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235309279	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	17890 (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. Letecia A Neilson allows following entities to bill medicare on her behalf.

Entity Name	Northeast Valley Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067

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. Letecia A Neilson 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
Letecia A Neilson, NURSE PRACTITIONER 1530 S Olive St, Los Angeles, CA 90015-3023 Ph: (213) 747-5542	Letecia A Neilson, NURSE PRACTITIONER 1530 S Olive St, Los Angeles, CA 90015-3023 Ph: (213) 747-5542

Reviews and Comments

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Letecia A Neilson, NURSE PRACTITIONER - Medicare Nurse Practitioner in Los Angeles, CA