Mrs Maydole Lopez Aldalur, NURSE PRACTITIONER in Garden Grove, CA

Mrs Maydole Lopez Aldalur, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Pediatrics" in Garden Grove, California. Her current practice location is 12100 Euclid St, Garden Grove, California. You can reach out to her office (for appointments etc.) via phone at (833) 574-2273.

Mrs Maydole Lopez Aldalur is licensed to practice in California (license number 95000492) 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 1811317001.

Contact Information

	Mrs Maydole Lopez Aldalur, NURSE PRACTITIONER
	12100 Euclid St, Garden Grove, CA 92840-3304
	(833) 574-2273
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Maydole Lopez Aldalur
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	12100 Euclid St, Garden Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811317001
Provider Enumeration Date: 04/26/2014
Last Update Date: 01/18/2023

Medicare PECOS Information:

PECOS PAC ID: 0840661963
Enrollment ID: I20230126003063

Medical Identifiers

Medical identifiers for Mrs Maydole Lopez Aldalur such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811317001	NPI	-	NPPES
755895	Other	CA	BOARD OF REGISTERED NURSING
95000492	Other	CA	BOARD OF REGISTERED NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	95000492 (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 Maydole Lopez Aldalur allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Maydole Lopez Aldalur 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 Maydole Lopez Aldalur, NURSE PRACTITIONER 7931 Westra Ln, La Palma, CA 90623-1844 Ph: (562) 810-4534	Mrs Maydole Lopez Aldalur, NURSE PRACTITIONER 12100 Euclid St, Garden Grove, CA 92840-3304 Ph: (833) 574-2273

Reviews and Comments

Nurse Practitioner Nurses in Garden Grove, CA

Barbara C Kenerson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6151 Cerulean Ave, Garden Grove, CA 92845 Phone: 714-943-3126
Ms. Jung Eun Yim, N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9828 Garden Grove Blvd Ste 201, Garden Grove, CA 92844 Phone: 714-530-9633 Fax: 714-530-4410
Ms. Jennifer Amos, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12141 Brookhurst St, Garden Grove, CA 92840 Phone: 714-296-1934
Anh Nguyen Galleta, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9191 Westminster Ave Ste 106, Garden Grove, CA 92844 Phone: 714-583-6340
Mrs. Adita Graciela Mckenzie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12751 Harbor Blvd, Garden Grove, CA 92840 Phone: 714-620-8883
Tu Thuy Tonnu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14221 Euclid St Ste H, Garden Grove, CA 92843 Phone: 714-539-9999 Fax: 714-539-9015
Susan Jean Reynolds, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9802 Woodbury Ave, Garden Grove, CA 92844 Phone: 714-663-6411 Fax: 714-663-6470

Mrs Maydole Lopez Aldalur, NURSE PRACTITIONER - Medicare Nurse Practitioner in Garden Grove, CA