Mrs Carol Rose Vasquez, FNP in Long Beach, CA

Mrs Carol Rose Vasquez, FNP is a medicare enrolled "Nurse Practitioner - Family" in Long Beach, California. Her current practice location is 2110 N Bellflower Blvd, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (562) 346-2222.

Mrs Carol Rose Vasquez is licensed to practice in California (license number 95003078) 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 1225406333.

Contact Information

	Mrs Carol Rose Vasquez, FNP
	2110 N Bellflower Blvd, Long Beach, CA 90815-3126
	(562) 346-2222
	(562) 546-8210

Map and Direction

Provider's Profile

Full Name	Mrs Carol Rose Vasquez
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2110 N Bellflower Blvd, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225406333
Provider Enumeration Date: 09/04/2015
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 3072815083
Enrollment ID: I20190305002153

Medical Identifiers

Medical identifiers for Mrs Carol Rose Vasquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225406333	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95003078 (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. Mrs Carol Rose Vasquez allows following entities to bill medicare on her behalf.

Entity Name	Memorialcare Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219

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. Mrs Carol Rose Vasquez 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
Mrs Carol Rose Vasquez, FNP 2110 N Bellflower Blvd, Long Beach, CA 90815-3126 Ph: (562) 346-2222	Mrs Carol Rose Vasquez, FNP 2110 N Bellflower Blvd, Long Beach, CA 90815-3126 Ph: (562) 346-2222

Reviews and Comments

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Mrs Carol Rose Vasquez, FNP - Medicare Nurse Practitioner in Long Beach, CA