Rodel Lumanog, in El Segundo, CA - Medicare Nurse Practitioner

Rodel Lumanog, is a medicare enrolled "Nurse Practitioner - Family" in El Segundo, California. His current practice location is 2101 Rosecrans Ave # 3230, El Segundo, California. You can reach out to his office (for appointments etc.) via phone at (323) 628-8671.

Rodel Lumanog is licensed to practice in California (license number 95004859) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124574819.

Contact Information

	Rodel Lumanog,
	2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749
	(323) 628-8671
	Not Available

Map and Direction

Provider's Profile

Full Name	Rodel Lumanog
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2101 Rosecrans Ave # 3230, El Segundo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124574819
Provider Enumeration Date: 08/31/2016
Last Update Date: 10/24/2019

Medicare PECOS Information:

PECOS PAC ID: 8426338674
Enrollment ID: I20161206001371

Medical Identifiers

Medical identifiers for Rodel Lumanog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124574819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95004859 (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. Rodel Lumanog allows following entities to bill medicare on his behalf.

Entity Name	San Diego American Indian Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003902917 PECOS PAC ID: 9830096411 Enrollment ID: O20031212000923

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. Rodel Lumanog 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
Rodel Lumanog, 1521 Victory Ln Unit 1, Chula Vista, CA 91915-2670 Ph: (619) 395-7392	Rodel Lumanog, 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 Ph: (323) 628-8671

Reviews and Comments

Nurse Practitioner Nurses in El Segundo, CA

Kenn Rafanan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671
Megan Puyau, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 390 N Pacific Coast Hwy Ste 2060, El Segundo, CA 90245 Phone: 855-427-2778 Fax: 424-277-6085
Young Shin, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671
Taylor Cwiertniewicz, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671
Victoria Desimone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245 Phone: 877-878-3289
Monica Casado Liyanage, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2175 Park Pl, El Segundo, CA 90245 Phone: 310-345-4200

Rodel Lumanog, - Medicare Nurse Practitioner in El Segundo, CA