Miss Agnes Andal Maramba, NURSE PRACTITIONER in Cerritos, CA

Miss Agnes Andal Maramba, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cerritos, California. Her current practice location is 12036 Abana St, Cerritos, California. You can reach out to her office (for appointments etc.) via phone at (562) 552-1799.

Miss Agnes Andal Maramba is licensed to practice in California (license number 95018566) 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 1770158172.

Contact Information

	Miss Agnes Andal Maramba, NURSE PRACTITIONER
	12036 Abana St, Cerritos, CA 90703-2721
	(562) 552-1799
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Agnes Andal Maramba
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12036 Abana St, Cerritos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770158172
Provider Enumeration Date: 05/26/2021
Last Update Date: 09/24/2021

Medicare PECOS Information:

PECOS PAC ID: 3870979081
Enrollment ID: I20220926001298

Medical Identifiers

Medical identifiers for Miss Agnes Andal Maramba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770158172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95018566 (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. Miss Agnes Andal Maramba allows following entities to bill medicare on her behalf.

Entity Name	Progeny Psychiatric Clinic A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548735202 PECOS PAC ID: 4688904592 Enrollment ID: O20190919000593

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. Miss Agnes Andal Maramba 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
Miss Agnes Andal Maramba, NURSE PRACTITIONER 12036 Abana St, Cerritos, CA 90703-2721 Ph: (562) 552-1799	Miss Agnes Andal Maramba, NURSE PRACTITIONER 12036 Abana St, Cerritos, CA 90703-2721 Ph: (562) 552-1799

Reviews and Comments

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Miss Agnes Andal Maramba, NURSE PRACTITIONER - Medicare Nurse Practitioner in Cerritos, CA