Rachelle Diosdado, in Los Angeles, CA - Medicare Nurse Practitioner

Rachelle Diosdado, is a medicare enrolled "Nurse Practitioner" in Los Angeles, California. Her current practice location is 1250 S Beverly Glen Blvd Apt 202, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 270-6181.

Rachelle Diosdado is licensed to practice in California (license number 502555) 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 1932714987.

Contact Information

	Rachelle Diosdado,
	1250 S Beverly Glen Blvd Apt 202, Los Angeles, CA 90024-5221
	(310) 270-6181
	Not Available

Map and Direction

Provider's Profile

Full Name	Rachelle Diosdado
Gender	Female
Speciality	Nurse Practitioner
Location	1250 S Beverly Glen Blvd Apt 202, 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: 1932714987
Provider Enumeration Date: 09/15/2020
Last Update Date: 09/15/2020

Medicare PECOS Information:

PECOS PAC ID: 0749609196
Enrollment ID: I20201002002825

Medical Identifiers

Medical identifiers for Rachelle Diosdado such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932714987	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	502555 (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. Rachelle Diosdado allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Snf Wound Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114393311 PECOS PAC ID: 1759699176 Enrollment ID: O20151006000251

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. Rachelle Diosdado 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
Rachelle Diosdado, 1250 S Beverly Glen Blvd Apt 202, Los Angeles, CA 90024-5221 Ph: (310) 270-6181	Rachelle Diosdado, 1250 S Beverly Glen Blvd Apt 202, Los Angeles, CA 90024-5221 Ph: (310) 270-6181

Reviews and Comments

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Rachelle Diosdado, - Medicare Nurse Practitioner in Los Angeles, CA