Trisha Srivastava, MSN, PNP, RN in San Mateo, CA

Trisha Srivastava, MSN, PNP, RN is a medicare enrolled "Nurse Practitioner - Pediatrics" in San Mateo, California. Her current practice location is 210 Baldwin Ave, San Mateo, California. You can reach out to her office (for appointments etc.) via phone at (650) 579-6581.

Trisha Srivastava is licensed to practice in California (license number 95018289) 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 1194379883.

Contact Information

	Trisha Srivastava, MSN, PNP, RN
	210 Baldwin Ave, San Mateo, CA 94401-3915
	(650) 579-6581
	Not Available

Map and Direction

Provider's Profile

Full Name	Trisha Srivastava
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	210 Baldwin Ave, San Mateo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194379883
Provider Enumeration Date: 07/30/2019
Last Update Date: 10/21/2021

Medicare PECOS Information:

PECOS PAC ID: 6002293073
Enrollment ID: I20220512000941

Medical Identifiers

Medical identifiers for Trisha Srivastava such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194379883	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95199348 (California)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	95018289 (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. Trisha Srivastava allows following entities to bill medicare on her behalf.

Entity Name	Childrens Hospital Los Angeles Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522

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. Trisha Srivastava 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
Trisha Srivastava, MSN, PNP, RN 210 Baldwin Ave, San Mateo, CA 94401-3915 Ph: (650) 579-6581	Trisha Srivastava, MSN, PNP, RN 210 Baldwin Ave, San Mateo, CA 94401-3915 Ph: (650) 579-6581

Reviews and Comments

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Trisha Srivastava, MSN, PNP, RN - Medicare Nurse Practitioner in San Mateo, CA