Ms Annalisa Agnote Moral, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chino, California. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Southern California Permanente Medical Group and her current practice location is
8312 E Preserve Loop, Chino, California. You can reach out to her office (for appointments etc.) via phone at
(909) 393-0343.
Ms Annalisa Agnote Moral is licensed to practice in California (license number 3811) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811137227.
Provider's Profile
| Full Name | Ms Annalisa Agnote Moral |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 15 Years |
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| Location | 8312 E Preserve Loop, Chino, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Annalisa Agnote Moral graduated from nursing school in 2009
NPI Data:
- NPI Number: 1811137227
- Provider Enumeration Date: 02/25/2009
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 9739229121
- Enrollment ID: I20101014000316
Medical Identifiers
Medical identifiers for Ms Annalisa Agnote Moral such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811137227 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 644893 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3811 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern California Permanente Medical Group | 6002729175 | 8172 |
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. Ms Annalisa Agnote Moral 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. Ms Annalisa Agnote Moral 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 |
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Ms Annalisa Agnote Moral, CRNA
8312 E Preserve Loop,
Chino, CA 91708-9328
Ph: (909) 393-0343 | Ms Annalisa Agnote Moral, CRNA
8312 E Preserve Loop,
Chino, CA 91708-9328
Ph: (909) 393-0343 |
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