Mrs Marites Ortaliza Tullius, RN NP is a medicare enrolled "Nurse Practitioner" in Sycmar, California. Her current practice location is
14445 Olive View Drive, Sycmar, California. You can reach out to her office (for appointments etc.) via phone at
(818) 364-3205.
Mrs Marites Ortaliza Tullius is licensed to practice in California (license number 16735) 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 1902976046.
Provider's Profile
Full Name | Mrs Marites Ortaliza Tullius |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 14445 Olive View Drive, Sycmar, 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: 1902976046
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9830339779
- Enrollment ID: I20140320001772
Medical Identifiers
Medical identifiers for Mrs Marites Ortaliza Tullius such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902976046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 16735 (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 Marites Ortaliza Tullius allows following entities to bill medicare on her behalf.
Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
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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 Marites Ortaliza Tullius 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 Marites Ortaliza Tullius, RN NP 5229 Balboa Blvd, Unit 13, Encino, CA 61316-2723 Ph: (818) 788-3169 | Mrs Marites Ortaliza Tullius, RN NP 14445 Olive View Drive, Sycmar, CA 91342-1495 Ph: (818) 364-3205 |
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