Theresa Anne Cangialosi, NP in Long Beach, CA

Theresa Anne Cangialosi, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Long Beach, California. Her current practice location is 3833 Worsham Ave Ste 301, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (562) 595-5479.

Theresa Anne Cangialosi is licensed to practice in California (license number 9281) 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 1578841946.

Contact Information

	Theresa Anne Cangialosi, NP
	3833 Worsham Ave Ste 301, Long Beach, CA 90808-1766
	(562) 595-5479
	(562) 988-7616

Map and Direction

Provider's Profile

Full Name	Theresa Anne Cangialosi
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	3833 Worsham Ave Ste 301, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578841946
Provider Enumeration Date: 08/02/2011
Last Update Date: 06/12/2024

Medicare PECOS Information:

PECOS PAC ID: 3274896790
Enrollment ID: I20180416002694

Medical Identifiers

Medical identifiers for Theresa Anne Cangialosi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578841946	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	9281 (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. Theresa Anne Cangialosi allows following entities to bill medicare on her behalf.

Entity Name	St Johns Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434

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. Theresa Anne Cangialosi 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
Theresa Anne Cangialosi, NP 918 Emerald St, Redondo Beach, CA 90277-3261 Ph: (310) 697-6833	Theresa Anne Cangialosi, NP 3833 Worsham Ave Ste 301, Long Beach, CA 90808-1766 Ph: (562) 595-5479

Reviews and Comments

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Theresa Anne Cangialosi, NP - Medicare Nurse Practitioner in Long Beach, CA