Mareynal Bernardo Bautista, in Rowland Heights, CA

Mareynal Bernardo Bautista, is a medicare enrolled "Nurse Practitioner - Family" in Rowland Heights, California. Her current practice location is 18019 Crosshaven Dr, Rowland Heights, California. You can reach out to her office (for appointments etc.) via phone at (626) 641-1805.

Mareynal Bernardo Bautista is licensed to practice in California (license number F01240217) 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 1003679291.

Contact Information

	Mareynal Bernardo Bautista,
	18019 Crosshaven Dr, Rowland Heights, CA 91748-2546
	(626) 641-1805
	Not Available

Map and Direction

Provider's Profile

Full Name	Mareynal Bernardo Bautista
Gender	Female
Speciality	Nurse Practitioner - Family
Location	18019 Crosshaven Dr, Rowland Heights, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003679291
Provider Enumeration Date: 02/01/2024
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 7810331576
Enrollment ID: I20240221001594

Medical Identifiers

Medical identifiers for Mareynal Bernardo Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003679291	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F01240217 (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. Mareynal Bernardo Bautista allows following entities to bill medicare on her behalf.

Entity Name	Molina Healthcare Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348

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. Mareynal Bernardo Bautista 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
Mareynal Bernardo Bautista, 18019 Crosshaven Dr, Rowland Heights, CA 91748-2546 Ph: () -	Mareynal Bernardo Bautista, 18019 Crosshaven Dr, Rowland Heights, CA 91748-2546 Ph: (626) 641-1805

Reviews and Comments

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Mareynal Bernardo Bautista, - Medicare Nurse Practitioner in Rowland Heights, CA