Sophia Villarreal-antillon, NURSE PRACTITIONER in Los Angeles, CA

Sophia Villarreal-antillon, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. Her current practice location is 1731 E 120th St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (951) 333-0073.

Sophia Villarreal-antillon is licensed to practice in California (license number 95024444) 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 1841998341.

Contact Information

	Sophia Villarreal-antillon, NURSE PRACTITIONER
	1731 E 120th St, Los Angeles, CA 90059-3051
	(951) 333-0073
	Not Available

Map and Direction

Provider's Profile

Full Name	Sophia Villarreal-antillon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1731 E 120th St, 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: 1841998341
Provider Enumeration Date: 02/23/2023
Last Update Date: 03/03/2023

Medicare PECOS Information:

PECOS PAC ID: 6709246358
Enrollment ID: I20230714001995

Medical Identifiers

Medical identifiers for Sophia Villarreal-antillon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841998341	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95024444 (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. Sophia Villarreal-antillon allows following entities to bill medicare on her behalf.

Entity Name	Wound Healing Care Specialists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306317961 PECOS PAC ID: 5698019602 Enrollment ID: O20181203001136

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. Sophia Villarreal-antillon 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
Sophia Villarreal-antillon, NURSE PRACTITIONER 1775 Rosewood Way, Upland, CA 91784-1766 Ph: (951) 333-0073	Sophia Villarreal-antillon, NURSE PRACTITIONER 1731 E 120th St, Los Angeles, CA 90059-3051 Ph: (951) 333-0073

Reviews and Comments

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Sophia Villarreal-antillon, NURSE PRACTITIONER - Medicare Nurse Practitioner in Los Angeles, CA