Mrs Sherie Marie Moreno, is a medicare enrolled "Advanced Practice Midwife" in Brea, California. Her current practice location is
3917 Landmark Ln, Brea, California. You can reach out to her office (for appointments etc.) via phone at
(714) 996-4462.
Mrs Sherie Marie Moreno is licensed to practice in California (license number IN PROGRESS) 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 1124219183.
Provider's Profile
| Full Name | Mrs Sherie Marie Moreno |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 3917 Landmark Ln, Brea, 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: 1124219183
- Provider Enumeration Date: 08/06/2007
- Last Update Date: 10/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 7810067543
- Enrollment ID: I20080605000886
Medical Identifiers
Medical identifiers for Mrs Sherie Marie Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124219183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LW0102X | Nurse Practitioner - Women's Health | IN PROGRESS (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | IN PROGRESS (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 Sherie Marie Moreno allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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 Sherie Marie Moreno 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 Sherie Marie Moreno,
3917 Landmark Ln,
Brea, CA 92823-1026
Ph: (714) 996-4462 | Mrs Sherie Marie Moreno,
3917 Landmark Ln,
Brea, CA 92823-1026
Ph: (714) 996-4462 |
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