Ms Korina Irish Lynne Tolentino De Los Santos, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Peoria, Arizona. Her current practice location is
13300 N 88th Ave Apt 1053, Peoria, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 286-9148.
Ms Korina Irish Lynne Tolentino De Los Santos is licensed to practice in Arizona (license number 145134) 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 1689391484.
Provider's Profile
Full Name | Ms Korina Irish Lynne Tolentino De Los Santos |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 13300 N 88th Ave Apt 1053, Peoria, Arizona |
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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: 1689391484
- Provider Enumeration Date: 10/21/2022
- Last Update Date: 11/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335599570
- Enrollment ID: I20231229001225
Medical Identifiers
Medical identifiers for Ms Korina Irish Lynne Tolentino De Los Santos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689391484 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 145134 (Arizona) | 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. Ms Korina Irish Lynne Tolentino De Los Santos allows following entities to bill medicare on her behalf.
Entity Name | Greater Anesthesia Solutions |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
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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 Korina Irish Lynne Tolentino De Los Santos 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 |
Ms Korina Irish Lynne Tolentino De Los Santos, 1818 N 162nd Dr, Goodyear, AZ 85395-7152 Ph: () - | Ms Korina Irish Lynne Tolentino De Los Santos, 13300 N 88th Ave Apt 1053, Peoria, AZ 85381-2609 Ph: (623) 286-9148 |
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