Mrs Sandra Hlavac, FNP-C in Temecula, CA - Medicare Nurse Practitioner

Mrs Sandra Hlavac, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Temecula, California. Her current practice location is 31625 De Portola Rd Ste 101, Temecula, California. You can reach out to her office (for appointments etc.) via phone at (951) 501-4200.

Mrs Sandra Hlavac is licensed to practice in California (license number 95026415) 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 1679255327.

Contact Information

	Mrs Sandra Hlavac, FNP-C
	31625 De Portola Rd Ste 101, Temecula, CA 92592-2770
	(951) 501-4200
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Sandra Hlavac
Gender	Female
Speciality	Nurse Practitioner - Family
Location	31625 De Portola Rd Ste 101, Temecula, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679255327
Provider Enumeration Date: 08/02/2023
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 1052698529
Enrollment ID: I20230920002350

Medical Identifiers

Medical identifiers for Mrs Sandra Hlavac such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679255327	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95026415 (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 Sandra Hlavac allows following entities to bill medicare on her behalf.

Entity Name	Trinity Medical Multi-specialty Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598399917 PECOS PAC ID: 0749610780 Enrollment ID: O20200415001942

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 Sandra Hlavac 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 Sandra Hlavac, FNP-C 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 Ph: (951) 501-4200	Mrs Sandra Hlavac, FNP-C 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 Ph: (951) 501-4200

Reviews and Comments

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Mrs Sandra Hlavac, FNP-C - Medicare Nurse Practitioner in Temecula, CA