Lysander Alto, NP-C in Anaheim, CA - Medicare Nurse Practitioner

Lysander Alto, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Anaheim, California. His current practice location is 631 S Brookhurst St Ste A, Anaheim, California. You can reach out to his office (for appointments etc.) via phone at (714) 991-5700.

Lysander Alto is licensed to practice in California (license number 95014191) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063020766.

Contact Information

	Lysander Alto, NP-C
	631 S Brookhurst St Ste A, Anaheim, CA 92804-3510
	(714) 991-5700
	Not Available

Map and Direction

Provider's Profile

Full Name	Lysander Alto
Gender	Male
Speciality	Nurse Practitioner - Family
Location	631 S Brookhurst St Ste A, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063020766
Provider Enumeration Date: 07/20/2020
Last Update Date: 07/20/2020

Medicare PECOS Information:

PECOS PAC ID: 0941626329
Enrollment ID: I20200817000339

Medical Identifiers

Medical identifiers for Lysander Alto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063020766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95014191 (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. Lysander Alto allows following entities to bill medicare on his behalf.

Entity Name	Oc Urgentcare Medical Group Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083940597 PECOS PAC ID: 3375672835 Enrollment ID: O20100521000870

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. Lysander Alto 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
Lysander Alto, NP-C 631 S Brookhurst St Ste 101, Anaheim, CA 92804-3563 Ph: (714) 991-5700	Lysander Alto, NP-C 631 S Brookhurst St Ste A, Anaheim, CA 92804-3510 Ph: (714) 991-5700

Reviews and Comments

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Lysander Alto, NP-C - Medicare Nurse Practitioner in Anaheim, CA