Michelle De Vela Padre, AGACNP-BC, AGCNS, RN in Rolling Hills Estates, CA

Michelle De Vela Padre, AGACNP-BC, AGCNS, RN is a medicare enrolled "Nurse Practitioner - Acute Care" in Rolling Hills Estates, California. Her current practice location is 46 Peninsula Ctr Ste E, #303, Rolling Hills Estates, California. You can reach out to her office (for appointments etc.) via phone at (310) 994-5679.

Michelle De Vela Padre is licensed to practice in California (license number 95015659) 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 1700487766.

Contact Information

	Michelle De Vela Padre, AGACNP-BC, AGCNS, RN
	46 Peninsula Ctr Ste E, #303, Rolling Hills Estates, CA 90274-3562
	(310) 994-5679
	Not Available

Map and Direction

Provider's Profile

Full Name	Michelle De Vela Padre
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	46 Peninsula Ctr Ste E, Rolling Hills Estates, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700487766
Provider Enumeration Date: 11/05/2020
Last Update Date: 11/05/2020

Medicare PECOS Information:

PECOS PAC ID: 4688052327
Enrollment ID: I20220608001150

Medical Identifiers

Medical identifiers for Michelle De Vela Padre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700487766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	843396 (California)	Secondary
364SA2100X	Clinical Nurse Specialist - Acute Care	4892 (California)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	95015659 (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. Michelle De Vela Padre allows following entities to bill medicare on her behalf.

Entity Name	Deen Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699165738 PECOS PAC ID: 4981919487 Enrollment ID: O20150812008622

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. Michelle De Vela Padre 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
Michelle De Vela Padre, AGACNP-BC, AGCNS, RN 19305 Hallmark Ln, Cerritos, CA 90703-6841 Ph: (562) 316-8487	Michelle De Vela Padre, AGACNP-BC, AGCNS, RN 46 Peninsula Ctr Ste E, #303, Rolling Hills Estates, CA 90274-3562 Ph: (310) 994-5679

Reviews and Comments

Nurse Practitioner Nurses in Rolling Hills Estates, CA

Leigh Ann Schmidt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 Deep Valley Dr Ste 319, Rolling Hills Estates, CA 90274 Phone: 310-544-6858
Nancy E. Siskowic, NP, CNS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 608 Silver Spur Rd, Suite 270, Rolling Hills Estates, CA 90274 Phone: 310-872-4640 Fax: 310-375-8415
Azusa Morimoto, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 609 Deep Valley Dr Ste 200, Rolling Hills Estates, CA 90274 Phone: 310-795-7327
Ms. Theresa Ann Paulson, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 827 Deep Valley Dr, 307, Rolling Hills Estates, CA 90274 Phone: 310-541-1600
Elainne Sher, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Deep Valley Dr Ste 283, Rolling Hills Estates, CA 90274 Phone: 310-541-7800 Fax: 310-541-7808
Gregory Thomas Asnon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Goldring Pl, Rolling Hills Estates, CA 90274 Phone: 949-322-7112

Michelle De Vela Padre, AGACNP-BC, AGCNS, RN - Medicare Nurse Practitioner in Rolling Hills Estates, CA