Mary Le, in San Jose, CA - Medicare Nurse Practitioner

Mary Le, is a medicare enrolled "Nurse Practitioner - Pediatrics" in San Jose, California. Her current practice location is 751 South Bascom Avenue, Nicu, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (415) 933-4082.

Mary Le is licensed to practice in California (license number 95005484) 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 1568909315.

Contact Information

	Mary Le,
	751 South Bascom Avenue, Nicu, San Jose, CA 95128-2604
	(415) 933-4082
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Le
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	751 South Bascom Avenue, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568909315
Provider Enumeration Date: 01/31/2017
Last Update Date: 01/31/2017

Medicare PECOS Information:

PECOS PAC ID: 4486911302
Enrollment ID: I20171201001090

Medical Identifiers

Medical identifiers for Mary Le such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568909315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	95005484 (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. Mary Le allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The Univ Of Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892

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. Mary Le 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
Mary Le, 751 South Bascom Avenue, Nicu, San Jose, CA 95128-2604 Ph: (415) 933-4082	Mary Le, 751 South Bascom Avenue, Nicu, San Jose, CA 95128-2604 Ph: (415) 933-4082

Reviews and Comments

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Mary Le, - Medicare Nurse Practitioner in San Jose, CA