Lisa Magdaleno, AGPCNP in Oakland, CA - Medicare Nurse Practitioner

Lisa Magdaleno, AGPCNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Oakland, California. Her current practice location is 3451 E 12th St, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 535-3500.

Lisa Magdaleno is licensed to practice in California (license number 95026202) 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 1063298875.

Contact Information

	Lisa Magdaleno, AGPCNP
	3451 E 12th St, Oakland, CA 94601-3463
	(510) 535-3500
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Magdaleno
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	3451 E 12th St, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063298875
Provider Enumeration Date: 09/06/2023
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 0446604995
Enrollment ID: I20231002003074

Medical Identifiers

Medical identifiers for Lisa Magdaleno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063298875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95260463 (California)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	95026202 (California)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	95026202 (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. Lisa Magdaleno allows following entities to bill medicare on her behalf.

Entity Name	La Clinica De La Raza Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144336181 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016

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. Lisa Magdaleno 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
Lisa Magdaleno, AGPCNP 6486 Flamingo Dr, Buena Park, CA 90620-1334 Ph: () -	Lisa Magdaleno, AGPCNP 3451 E 12th St, Oakland, CA 94601-3463 Ph: (510) 535-3500

Reviews and Comments

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Lisa Magdaleno, AGPCNP - Medicare Nurse Practitioner in Oakland, CA