Mrs Maria Angela King, CNM, RN is a medicare enrolled "Advanced Practice Midwife" in San Bernardino, California. Her current practice location is
1881 Business Center Dr Ste 8a, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at
(714) 470-1506.
Mrs Maria Angela King is licensed to practice in California (license number 1593) 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 1801002704.
Provider's Profile
| Full Name | Mrs Maria Angela King |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1881 Business Center Dr Ste 8a, San Bernardino, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801002704
- Provider Enumeration Date: 05/15/2007
- Last Update Date: 08/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 2668809500
- Enrollment ID: I20200305000916
Medical Identifiers
Medical identifiers for Mrs Maria Angela King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801002704 | NPI | - | NPPES |
| 12646542 | Other | CA | CAQH PROVIDER ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WL0100X | Registered Nurse - Lactation Consultant | 615636 (California) | Secondary |
| 163WM0102X | Registered Nurse - Maternal Newborn | 1593 (California) | Secondary |
| 163WN0003X | Registered Nurse - Neonatal, Low-risk | 1593 (California) | Secondary |
| 163WP1700X | Registered Nurse - Perinatal | 1593 (California) | Secondary |
| 163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | 1593 (California) | Secondary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
| 2085U0001X | Radiology - Diagnostic Ultrasound | 615636 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 1593 (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 Maria Angela King allows following entities to bill medicare on her behalf.
| Entity Name | Obhg California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215258892
PECOS PAC ID: 8729276795
Enrollment ID: O20101217000826 |
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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 Maria Angela King 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 Maria Angela King, CNM, RN
6240 Black Pearl Ct,
Mira Loma, CA 91752-4405
Ph: (714) 470-1506 | Mrs Maria Angela King, CNM, RN
1881 Business Center Dr Ste 8a,
San Bernardino, CA 92408-3448
Ph: (714) 470-1506 |
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