Miss Honorine Penoria Pengho, NP in Los Angeles, CA - Medicare Clinical Nurse Specialist

Miss Honorine Penoria Pengho, NP is a medicare enrolled "Clinical Nurse Specialist - Acute Care" in Los Angeles, California. Her current practice location is 4945 Angeles Vista Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 409-5160.

Miss Honorine Penoria Pengho is licensed to practice in California (license number 21236) 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 1750625588.

Contact Information

	Miss Honorine Penoria Pengho, NP
	4945 Angeles Vista Blvd, Los Angeles, CA 90043-1724
	(310) 409-5160
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Honorine Penoria Pengho
Gender	Female
Speciality	Clinical Nurse Specialist - Acute Care
Location	4945 Angeles Vista Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750625588
Provider Enumeration Date: 11/16/2012
Last Update Date: 11/16/2012

Medicare PECOS Information:

PECOS PAC ID: 5991179889
Enrollment ID: I20230315002490

Medical Identifiers

Medical identifiers for Miss Honorine Penoria Pengho such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750625588	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SA2100X	Clinical Nurse Specialist - Acute Care	21236 (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 Honorine Penoria Pengho allows following entities to bill medicare on her behalf.

Entity Name	Meticulous Health Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104570357 PECOS PAC ID: 1759757305 Enrollment ID: O20221021002486

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 Honorine Penoria Pengho 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 Honorine Penoria Pengho, NP 4945 Angeles Vista Blvd, Los Angeles, CA 90043-1724 Ph: (310) 409-5160	Miss Honorine Penoria Pengho, NP 4945 Angeles Vista Blvd, Los Angeles, CA 90043-1724 Ph: (310) 409-5160

Reviews and Comments

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Ms. Zeleen Amelia Franklin, PNP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 4760 S Figueroa St, Los Angeles, CA 90037 Phone: 323-232-2601 Fax: 323-232-1924

Miss Honorine Penoria Pengho, NP - Medicare Clinical Nurse Specialist in Los Angeles, CA