Mariko Elizabeth Blumenfeld, FNP in San Leandro, CA

Mariko Elizabeth Blumenfeld, FNP is a medicare enrolled "Nurse Practitioner - Family" in San Leandro, California. Her current practice location is 13690 E 14th St Ste 200, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at (510) 297-0550.

Mariko Elizabeth Blumenfeld is licensed to practice in California (license number 95006095) 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 1750820965.

Contact Information

	Mariko Elizabeth Blumenfeld, FNP
	13690 E 14th St Ste 200, San Leandro, CA 94578-2584
	(510) 297-0550
	(510) 297-0558

Map and Direction

Provider's Profile

Full Name	Mariko Elizabeth Blumenfeld
Gender	Female
Speciality	Nurse Practitioner - Family
Location	13690 E 14th St Ste 200, San Leandro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750820965
Provider Enumeration Date: 02/21/2017
Last Update Date: 04/06/2022

Medicare PECOS Information:

PECOS PAC ID: 2769768449
Enrollment ID: I20170412000503

Medical Identifiers

Medical identifiers for Mariko Elizabeth Blumenfeld such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750820965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95053145 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95006095 (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. Mariko Elizabeth Blumenfeld allows following entities to bill medicare on her behalf.

Entity Name	Tri-valley Orthopedic And Sports Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184808156 PECOS PAC ID: 3577461151 Enrollment ID: O20031219000786

Entity Name	East Bay Hand Medical Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003305236 PECOS PAC ID: 6608124284 Enrollment ID: O20180731000327

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. Mariko Elizabeth Blumenfeld 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
Mariko Elizabeth Blumenfeld, FNP 4626 Willow Rd, Pleasanton, CA 94588-8517 Ph: (866) 623-7600	Mariko Elizabeth Blumenfeld, FNP 13690 E 14th St Ste 200, San Leandro, CA 94578-2584 Ph: (510) 297-0550

Reviews and Comments

Nurse Practitioner Nurses in San Leandro, CA

Lisa Cung, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2410 Merced St, San Leandro, CA 94577 Phone: 510-278-2700 Fax: 510-278-2772
Dr. Elizabeth Macera, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 415-576-8899
Aiko Loo, RN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13939 E 14th St Ste 180, San Leandro, CA 94578 Phone: 510-263-3300 Fax: 510-263-3350
Angela Lynn Serpa, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 510-675-2153
Mrs. Erin Mary Crawford, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000
Sarah Archenbronn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13855 E 14th St, San Leandro, CA 94578 Phone: 510-357-6500
Karen Yurch Horn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2587 Merced St., San Leandro, CA 94577 Phone: 510-351-3553 Fax: 510-351-3585

Mariko Elizabeth Blumenfeld, FNP - Medicare Nurse Practitioner in San Leandro, CA