Rachel Medina, in Riverside, CA - Medicare Nurse Practitioner

Rachel Medina, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Riverside, California. Her current practice location is 9890 County Farm Rd, Building 3, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 509-8320.

Rachel Medina is licensed to practice in California (license number 95009499) 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 1275010241.

Contact Information

	Rachel Medina,
	9890 County Farm Rd, Building 3, Riverside, CA 92503-3678
	(951) 509-8320
	Not Available

Map and Direction

Provider's Profile

Full Name	Rachel Medina
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9890 County Farm Rd, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275010241
Provider Enumeration Date: 07/23/2018
Last Update Date: 06/06/2024

Medicare PECOS Information:

PECOS PAC ID: 9537403241
Enrollment ID: I20181206003632

Medical Identifiers

Medical identifiers for Rachel Medina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275010241	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95009499 (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. Rachel Medina allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Health Service Alliance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801307368 PECOS PAC ID: 4587642467 Enrollment ID: O20040708000369

Entity Name	Telecare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720164882 PECOS PAC ID: 6901820380 Enrollment ID: O20070614000167

Entity Name	Foothills Psychological Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100318000835

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. Rachel Medina 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
Rachel Medina, 9890 County Farm Rd, Building 3, Riverside, CA 92503-3678 Ph: (951) 509-8320	Rachel Medina, 9890 County Farm Rd, Building 3, Riverside, CA 92503-3678 Ph: (951) 509-8320

Reviews and Comments

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Rachel Medina, - Medicare Nurse Practitioner in Riverside, CA