Martina Sara Cordova, FNP in Clearlake, CA - Medicare Nurse Practitioner

Martina Sara Cordova, FNP is a medicare enrolled "Nurse Practitioner - Family" in Clearlake, California. Her current practice location is 15630 18th Ave, Clearlake, California. You can reach out to her office (for appointments etc.) via phone at (707) 994-6486.

Martina Sara Cordova is licensed to practice in California (license number 95026363) 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 1114793643.

Contact Information

	Martina Sara Cordova, FNP
	15630 18th Ave, Clearlake, CA 95422-9336
	(707) 994-6486
	Not Available

Map and Direction

Provider's Profile

Full Name	Martina Sara Cordova
Gender	Female
Speciality	Nurse Practitioner - Family
Location	15630 18th Ave, Clearlake, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114793643
Provider Enumeration Date: 11/27/2023
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1951746130
Enrollment ID: I20240227003597

Medical Identifiers

Medical identifiers for Martina Sara Cordova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114793643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95026363 (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. Martina Sara Cordova allows following entities to bill medicare on her behalf.

Entity Name	Adventist Health Clearlake Hospital Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573

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. Martina Sara Cordova 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
Martina Sara Cordova, FNP 1583 Gladstone Way, Rohnert Park, CA 94928-1592 Ph: (650) 455-1109	Martina Sara Cordova, FNP 15630 18th Ave, Clearlake, CA 95422-9336 Ph: (707) 994-6486

Reviews and Comments

Nurse Practitioner Nurses in Clearlake, CA

Ms. Stephenie Hargrove, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486
Ms. Katherine Robin Willems, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500
Ann C Larocca, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500
Ciaran George Carroll, FNP, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-2400
Mr. Rommel B Gayagoy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500
Prof. Sharon K Larock, CNN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-5741

Martina Sara Cordova, FNP - Medicare Nurse Practitioner in Clearlake, CA