Lucyana Magrietta Panjaitan, NURSE PRACTITIONER in Riverside, CA

Lucyana Magrietta Panjaitan, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Riverside, California. Her current practice location is 4500 Brockton Ave, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 276-2760.

Lucyana Magrietta Panjaitan is licensed to practice in California (license number 95007651) 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 1831656578.

Contact Information

	Lucyana Magrietta Panjaitan, NURSE PRACTITIONER
	4500 Brockton Ave, Riverside, CA 92501-4090
	(951) 276-2760
	(951) 276-2960

Map and Direction

Provider's Profile

Full Name	Lucyana Magrietta Panjaitan
Gender	Female
Speciality	Nurse Practitioner
Location	4500 Brockton Ave, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831656578
Provider Enumeration Date: 02/28/2019
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 3779949896
Enrollment ID: I20230821000440

Medical Identifiers

Medical identifiers for Lucyana Magrietta Panjaitan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831656578	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95007651 (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. Lucyana Magrietta Panjaitan 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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Lucyana Magrietta Panjaitan 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
Lucyana Magrietta Panjaitan, NURSE PRACTITIONER 4500 Brockton Ave, Riverside, CA 92501-4090 Ph: (951) 276-2760	Lucyana Magrietta Panjaitan, NURSE PRACTITIONER 4500 Brockton Ave, Riverside, CA 92501-4090 Ph: (951) 276-2760

Reviews and Comments

Nurse Practitioner Nurses in Riverside, CA

Alice Chinyere Echeta, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4960 Arlington Ave Ste B, Riverside, CA 92504 Phone: 951-341-8930
Obianuju Rivera, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3801 University Ave Ste 270, Riverside, CA 92501 Phone: 855-427-2778 Fax: 951-530-3997
Luamy Gabriela Cornejo, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 Brockton Ave Ste 100, Riverside, CA 92501 Phone: 951-684-1293
Christine Pham Duong, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5549 Van Buren Blvd, Riverside, CA 92503 Phone: 951-324-5901 Fax: 877-778-9472
Namrata Nicole Sihotang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19330 Jesse Ln Ste 100, Riverside, CA 92508 Phone: 844-827-8000
Helen Landayan Lo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7140 Indiana Avenue, Riverside, CA 92503 Phone: 951-358-6037
Rebecca J Seawell, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000

Lucyana Magrietta Panjaitan, NURSE PRACTITIONER - Medicare Nurse Practitioner in Riverside, CA