Ms Yesenia Ivette Urquilla Davis, FNP in Los Angeles, CA

Ms Yesenia Ivette Urquilla Davis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. Her current practice location is 1701 Cesar E. Chavez Ave Ste 125, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 441-1122.

Ms Yesenia Ivette Urquilla Davis is licensed to practice in California (license number 95019085) 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 1821744913.

Contact Information

	Ms Yesenia Ivette Urquilla Davis, FNP
	1701 Cesar E. Chavez Ave Ste 125, Los Angeles, CA 90033-2445
	(323) 441-1122
	(323) 441-1173

Map and Direction

Provider's Profile

Full Name	Ms Yesenia Ivette Urquilla Davis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1701 Cesar E. Chavez Ave Ste 125, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821744913
Provider Enumeration Date: 02/27/2022
Last Update Date: 03/24/2023

Medicare PECOS Information:

PECOS PAC ID: 7911363494
Enrollment ID: I20230525003142

Medical Identifiers

Medical identifiers for Ms Yesenia Ivette Urquilla Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821744913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95019085 (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 Yesenia Ivette Urquilla Davis allows following entities to bill medicare on her behalf.

Entity Name	East Los Angeles Cardiology Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790864213 PECOS PAC ID: 7113906694 Enrollment ID: O20040717000398

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 Yesenia Ivette Urquilla Davis 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 Yesenia Ivette Urquilla Davis, FNP 520 E Magnolia Blvd Apt E, Burbank, CA 91501-1948 Ph: (323) 377-0030	Ms Yesenia Ivette Urquilla Davis, FNP 1701 Cesar E. Chavez Ave Ste 125, Los Angeles, CA 90033-2445 Ph: (323) 441-1122

Reviews and Comments

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Ms Yesenia Ivette Urquilla Davis, FNP - Medicare Nurse Practitioner in Los Angeles, CA