Miss Ma Cornelia Villavicencio Leano, NURSE PRACTITIONER in Fayetteville, NC

Miss Ma Cornelia Villavicencio Leano, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Gerontology" in Fayetteville, North Carolina. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eventus Wholehealth Pllc, Optimed Hospitalists, Pllc and her current practice location is 3081 Stone Carriage Cir Apt Z, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (818) 675-0386.

Miss Ma Cornelia Villavicencio Leano is licensed to practice in North Carolina (license number LEAN-18CO92) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1780179580.

Contact Information

	Miss Ma Cornelia Villavicencio Leano, NURSE PRACTITIONER
	3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304
	(818) 675-0386
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Ma Cornelia Villavicencio Leano
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	3081 Stone Carriage Cir Apt Z, Fayetteville, North Carolina
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Ma Cornelia Villavicencio Leano graduated from nursing school in 2009

NPI Data:

NPI Number: 1780179580
Provider Enumeration Date: 06/25/2018
Last Update Date: 07/11/2018

Medicare PECOS Information:

PECOS PAC ID: 8729338918
Enrollment ID: I20180910001792

Medical Identifiers

Medical identifiers for Miss Ma Cornelia Villavicencio Leano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780179580	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	LEAN-18CO92 (North Carolina)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	LEAN-18CO92 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carolinas Medical Center/behav Health	Charlotte, NC	Hospital
Atrium Health Cleveland	Shelby, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eventus Wholehealth Pllc	6002169539	252
Optimed Hospitalists, Pllc	8022204171	57

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 Ma Cornelia Villavicencio Leano allows following entities to bill medicare on her behalf.

Entity Name	Optimed Hospitalists, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235449125 PECOS PAC ID: 8022204171 Enrollment ID: O20101201000378

Entity Name	Gps Physician Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180131001329

Entity Name	Eventus Wholehealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281

Entity Name	Eventus Value Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013680503 PECOS PAC ID: 1254736986 Enrollment ID: O20210818003793

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 Ma Cornelia Villavicencio Leano 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 Ma Cornelia Villavicencio Leano, NURSE PRACTITIONER 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304-5591 Ph: (818) 675-0386	Miss Ma Cornelia Villavicencio Leano, NURSE PRACTITIONER 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 Ph: (818) 675-0386

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, NC

Mrs. Sekeya Edreekia Durgan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7300 S Raeford Rd, Fayetteville, NC 28304 Phone: 910-475-6244
Heather Mcphail Maynor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5680
Wendy Lynn Brock, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5490
Dr. Adrian Nicole Lennon, PSYCHIATRIC NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6977 Nexus Ct Ste 102, Fayetteville, NC 28304 Phone: 910-672-6432 Fax: 910-745-7907
Shelley Barry Follett, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2125 Valleygate Dr, Suite 201, Fayetteville, NC 28304 Phone: 910-323-1322
Cheryl Norris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-4000
Demetria Ward-richardson, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100

Miss Ma Cornelia Villavicencio Leano, NURSE PRACTITIONER - Medicare Nurse Practitioner in Fayetteville, NC