Lizeth Medina, MSN, FNP-BC in Sylmar, CA - Medicare Nurse Practitioner

Lizeth Medina, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Sylmar, California. Her current practice location is 14445 Olive View Dr, Sylmar, California. You can reach out to her office (for appointments etc.) via phone at (747) 210-4301.

Lizeth Medina is licensed to practice in California (license number 95015298) 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 1902482748.

Contact Information

	Lizeth Medina, MSN, FNP-BC
	14445 Olive View Dr, Sylmar, CA 91342-1437
	(747) 210-4301
	Not Available

Map and Direction

Provider's Profile

Full Name	Lizeth Medina
Gender	Female
Speciality	Nurse Practitioner - Family
Location	14445 Olive View Dr, Sylmar, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902482748
Provider Enumeration Date: 03/22/2021
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 5395133060
Enrollment ID: I20211028003136

Medical Identifiers

Medical identifiers for Lizeth Medina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902482748	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95015298 (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. Lizeth Medina allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

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. Lizeth Medina 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
Lizeth Medina, MSN, FNP-BC 14445 Olive View Dr, Sylmar, CA 91342-1437 Ph: (747) 210-4301	Lizeth Medina, MSN, FNP-BC 14445 Olive View Dr, Sylmar, CA 91342-1437 Ph: (747) 210-4301

Reviews and Comments

Nurse Practitioner Nurses in Sylmar, CA

Ms. Valerie J. Payne, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Drive, Room 6b119-h, Sylmar, CA 91342 Phone: 818-364-3031
Tara Elizabeth Soto, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14117 Hubbard St Unit M, Sylmar, CA 91342 Phone: 818-833-3066
Mrs. June Noelle Garcia, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12737 Glenoaks Blvd Ste 26, Sylmar, CA 91342 Phone: 818-362-1758
Garrett Steadman, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 747-210-3000
Mr. Wilfredo Lapuz Del Rosario, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Drive, Sylmar, CA 91342 Phone: 818-364-3107
Ms. Diana Grace Reyes De Leon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12376 Twilight Ave, Sylmar, CA 91342 Phone: 818-648-0248
Penny Yen Luc, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Olive View Ucla Medical Center, Sylmar, CA 91342 Phone: 818-364-3788

Lizeth Medina, MSN, FNP-BC - Medicare Nurse Practitioner in Sylmar, CA