Ronnell Regidor, in Los Angeles, CA - Medicare Nurse Practitioner

Ronnell Regidor, is a medicare enrolled "Nurse Practitioner - Acute Care" in Los Angeles, California. His current practice location is 1520 San Pablo St Ste 1000, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 442-5100.

Ronnell Regidor is licensed to practice in California (license number 23729) 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 1265861397.

Contact Information

	Ronnell Regidor,
	1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312
	(323) 442-5100
	Not Available

Map and Direction

Provider's Profile

Full Name	Ronnell Regidor
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	1520 San Pablo St Ste 1000, 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: 1265861397
Provider Enumeration Date: 11/08/2013
Last Update Date: 01/14/2023

Medicare PECOS Information:

PECOS PAC ID: 3779807821
Enrollment ID: I20150120000369

Medical Identifiers

Medical identifiers for Ronnell Regidor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265861397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	23729 (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. Ronnell Regidor allows following entities to bill medicare on his behalf.

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

Entity Name	Mid-valley Pulmonary Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689688335 PECOS PAC ID: 8325029143 Enrollment ID: O20050613001347

Entity Name	San Fernando Valley Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902188022 PECOS PAC ID: 9931360047 Enrollment ID: O20120417000819

Entity Name	Arcadia Intensivist Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598361669 PECOS PAC ID: 9537574223 Enrollment ID: O20210210000588

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. Ronnell Regidor 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
Ronnell Regidor, Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-5100	Ronnell Regidor, 1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312 Ph: (323) 442-5100

Reviews and Comments

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Ronnell Regidor, - Medicare Nurse Practitioner in Los Angeles, CA