Sade Stephenson, NP in Los Angeles, CA - Medicare Nurse Practitioner

Sade Stephenson, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Los Angeles, California. Her current practice location is 1225 Wilshire Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 917-2121.

Sade Stephenson is licensed to practice in California (license number 95007582) 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 1265942437.

Contact Information

	Sade Stephenson, NP
	1225 Wilshire Blvd, Los Angeles, CA 90017-1901
	(213) 917-2121
	Not Available

Map and Direction

Provider's Profile

Full Name	Sade Stephenson
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1225 Wilshire Blvd, 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: 1265942437
Provider Enumeration Date: 10/02/2017
Last Update Date: 10/02/2017

Medicare PECOS Information:

PECOS PAC ID: 6800156837
Enrollment ID: I20180212001416

Medical Identifiers

Medical identifiers for Sade Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265942437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95007582 (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. Sade Stephenson allows following entities to bill medicare on her behalf.

Entity Name	Elevate Health Group A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447632518 PECOS PAC ID: 1951603224 Enrollment ID: O20160104000402

Entity Name	Glendale Hospitalist Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427565506 PECOS PAC ID: 8729348289 Enrollment ID: O20180201002916

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. Sade Stephenson 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
Sade Stephenson, NP 7190 Willowmore Dr, Fontana, CA 92336-1874 Ph: (909) 682-0287	Sade Stephenson, NP 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 Ph: (213) 917-2121

Reviews and Comments

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Sade Stephenson, NP - Medicare Nurse Practitioner in Los Angeles, CA