Ms Laurene Bandolin, NP in Orange, CA - Medicare Nurse Practitioner

Ms Laurene Bandolin, NP is a medicare enrolled "Nurse Practitioner - Family" in Orange, California. Her current practice location is 1100 W Town And Country Rd Ste 1300, Orange, California. You can reach out to her office (for appointments etc.) via phone at (855) 434-7763.

Ms Laurene Bandolin is licensed to practice in California (license number 95022508) 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 1053025239.

Contact Information

	Ms Laurene Bandolin, NP
	1100 W Town And Country Rd Ste 1300, Orange, CA 92868-4654
	(855) 434-7763
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Laurene Bandolin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1100 W Town And Country Rd Ste 1300, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053025239
Provider Enumeration Date: 01/11/2023
Last Update Date: 01/11/2023

Medicare PECOS Information:

PECOS PAC ID: 0648642306
Enrollment ID: I20230207002459

Medical Identifiers

Medical identifiers for Ms Laurene Bandolin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053025239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95036098 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95022508 (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. Ms Laurene Bandolin allows following entities to bill medicare on her behalf.

Entity Name	J M Geiss Do Apc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063825289 PECOS PAC ID: 6103044078 Enrollment ID: O20140919001932

Entity Name	California Phs Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649932781 PECOS PAC ID: 2062808645 Enrollment ID: O20220407001048

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 Laurene Bandolin 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 Laurene Bandolin, NP 22885 Hilton Head Dr Unit 263, Diamond Bar, CA 91765-4415 Ph: () -	Ms Laurene Bandolin, NP 1100 W Town And Country Rd Ste 1300, Orange, CA 92868-4654 Ph: (855) 434-7763

Reviews and Comments

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Lea D Wood, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7630 E Chapman Ave Ste B, Orange, CA 92869 Phone: 714-287-0459
Elen G Araya, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812

Ms Laurene Bandolin, NP - Medicare Nurse Practitioner in Orange, CA