Mia Dominique Manipud, NP in Santa Clara, CA - Medicare Nurse Practitioner

Mia Dominique Manipud, NP is a medicare enrolled "Nurse Practitioner - Family" in Santa Clara, California. Her current practice location is 900 Lafayette St Ste 105, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at (408) 293-7767.

Mia Dominique Manipud is licensed to practice in California (license number 95024700) 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 1316630403.

Contact Information

	Mia Dominique Manipud, NP
	900 Lafayette St Ste 105, Santa Clara, CA 95050-4966
	(408) 293-7767
	Not Available

Map and Direction

Provider's Profile

Full Name	Mia Dominique Manipud
Gender	Female
Speciality	Nurse Practitioner - Family
Location	900 Lafayette St Ste 105, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316630403
Provider Enumeration Date: 06/02/2023
Last Update Date: 06/02/2023

Medicare PECOS Information:

PECOS PAC ID: 3173981321
Enrollment ID: I20230620001691

Medical Identifiers

Medical identifiers for Mia Dominique Manipud such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316630403	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95024700 (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. Mia Dominique Manipud allows following entities to bill medicare on her behalf.

Entity Name	Golden State Orthopedics & Spine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972552990 PECOS PAC ID: 8224940739 Enrollment ID: O20031103000721

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. Mia Dominique Manipud 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
Mia Dominique Manipud, NP Po Box 31396, Walnut Creek, CA 94598-8396 Ph: () -	Mia Dominique Manipud, NP 900 Lafayette St Ste 105, Santa Clara, CA 95050-4966 Ph: (408) 293-7767

Reviews and Comments

Nurse Practitioner Nurses in Santa Clara, CA

Mrs. Sharlene Junio Madanes, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-3829 Fax: 408-851-3872
Alejandra Lorena Lecaros, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Ja Young Kim, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2734 El Camino Real, Santa Clara, CA 95051 Phone: 408-241-3801
Jacqueline E Trammell, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Department 342, Santa Clara, CA 95051 Phone: 408-851-3828 Fax: 408-851-3872
Mr. Erick Michael Pierce, RN, NP, CRNA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-6012
Erma Carbonell Trias, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-2399
Mrs. Marion C Colombo, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2885 Kaiser Dr., Building C, Santa Clara, CA 95051 Phone: 408-851-9400 Fax: 408-851-9412

Mia Dominique Manipud, NP - Medicare Nurse Practitioner in Santa Clara, CA