Mrs Liana Lourdes Marino, PA-C is a medicare enrolled "Family Medicine" in Riverside, California. Her current practice location is
6780 Indiana Ave. #110, Riverside, California. You can reach out to her office (for appointments etc.) via phone at
(951) 682-1622.
Mrs Liana Lourdes Marino is licensed to practice in California (license number A67841) 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 1710948450.
Provider's Profile
Full Name | Mrs Liana Lourdes Marino |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 6780 Indiana Ave. #110, Riverside, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710948450
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 04/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 7618194184
- Enrollment ID: I20140806001167
Medical Identifiers
Medical identifiers for Mrs Liana Lourdes Marino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710948450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA18166 (California) | Secondary |
207Q00000X | Family Medicine | A67841 (California) | Primary |
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 Liana Lourdes Marino 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 Liana Lourdes Marino, PA-C 6780 Indiana Ave. #110, Riverside, CA 92506 Ph: (909) 796-9294 | Mrs Liana Lourdes Marino, PA-C 6780 Indiana Ave. #110, Riverside, CA 92506 Ph: (951) 682-1622 |
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