Ms Mary Madrigal Sandoval, RN, PHN, FNP - Medicare Nurse Practitioner in San Jacinto, CA

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Ms Mary Madrigal Sandoval, RN, PHN, FNP is a medicare enrolled "Nurse Practitioner - Family" in San Jacinto, California. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Riverside-san Bernardino County Indian Health Inc and her current practice location is 607 Donna Way, San Jacinto, California. You can reach out to her office (for appointments etc.) via phone at (951) 654-0803.

Ms Mary Madrigal Sandoval is licensed to practice in California (license number 95013490) 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 1760829543.

Contact Information

Ms Mary Madrigal Sandoval, RN, PHN, FNP
607 Donna Way,
San Jacinto, CA 92583-5517
(951) 654-0803
(951) 654-3917

Map and Direction




Provider's Profile

Full NameMs Mary Madrigal Sandoval
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location607 Donna Way, San Jacinto, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Mary Madrigal Sandoval graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1760829543
  • Provider Enumeration Date: 06/03/2013
  • Last Update Date: 08/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9638597750
  • Enrollment ID: I20200922000286

Medical Identifiers

Medical identifiers for Ms Mary Madrigal Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760829543NPI-NPPES
95013490OtherCABOARD OF REGISTERED NURSING
59378OtherCABOARD OF REGISTERED NURSING
531242OtherCABOARD OF REGISTERED NURSING

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC1500XRegistered Nurse - Community Health 531242 (California)Secondary
363LF0000XNurse Practitioner - Family 95013490 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Riverside-san Bernardino County Indian Health Inc478986780531

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 Mary Madrigal Sandoval allows following entities to bill medicare on her behalf.
Entity NameRiverside-san Bernardino County Indian Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174676670
PECOS PAC ID: 4789867805
Enrollment ID: O20150508001121

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 Mary Madrigal Sandoval 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 AddressPractice Location Address
Ms Mary Madrigal Sandoval, RN, PHN, FNP
11980 Mount Vernon Ave,
Grand Terrace, CA 92313-5172

Ph: (909) 864-1097		Ms Mary Madrigal Sandoval, RN, PHN, FNP
607 Donna Way,
San Jacinto, CA 92583-5517

Ph: (951) 654-0803

Reviews and Comments


Nurse Practitioner Nurses in San Jacinto, CA

Sonia Ildelisa Betancourt, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 621 N State St, San Jacinto, CA 92583
Phone: 951-285-6115    
Linda S. Olson, NP
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Practice Location: 1695 S San Jacinto Ave, Suite #a, San Jacinto, CA 92583
Phone: 951-665-1100    
Jaime Zeledon, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1695 S San Jacinto Ave Ste A-cd, San Jacinto, CA 92583
Phone: 951-330-3100    Fax: 951-380-8596
Lisa Garcia, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1695 S San Jacinto Ave Ste A, San Jacinto, CA 92583
Phone: 951-665-1100    Fax: 951-665-1414
Ms. Martha Kim Izvernari, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1695 S. San Jacinto Ave, Suite L, San Jacinto, CA 92583
Phone: 951-654-8132    Fax: 951-654-8135
Michael Aquitania Agbisit, ACNPC-AG
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 448 Oriole Rd, San Jacinto, CA 92582
Phone: 951-654-8038    
Rahel Asfaw Demessie, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 229 W 7th St, San Jacinto, CA 92583
Phone: 951-487-2550    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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