Miss Elizah Centeno, in Corona, CA - Medicare Nurse Practitioner

Miss Elizah Centeno, is a medicare enrolled "Nurse Practitioner - Family" in Corona, California. Her current practice location is 1571 Tanglewood Dr, Corona, California. You can reach out to her office (for appointments etc.) via phone at (310) 415-4863.

Miss Elizah Centeno is licensed to practice in California (license number F12230597) 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 1043081383.

Contact Information

	Miss Elizah Centeno,
	1571 Tanglewood Dr, Corona, CA 92882-3780
	(310) 415-4863
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Elizah Centeno
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1571 Tanglewood Dr, Corona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043081383
Provider Enumeration Date: 01/15/2024
Last Update Date: 01/15/2024

Medicare PECOS Information:

PECOS PAC ID: 9436690393
Enrollment ID: I20240918002943

Medical Identifiers

Medical identifiers for Miss Elizah Centeno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043081383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F12230597 (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 Elizah Centeno allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

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 Elizah Centeno 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 Elizah Centeno, 1571 Tanglewood Dr, Corona, CA 92882-3780 Ph: (310) 415-4863	Miss Elizah Centeno, 1571 Tanglewood Dr, Corona, CA 92882-3780 Ph: (310) 415-4863

Reviews and Comments

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Miss Elizah Centeno, - Medicare Nurse Practitioner in Corona, CA