Vanessa Marmon, PMHNP in Inglewood, CA - Medicare Nurse Practitioner

Vanessa Marmon, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Inglewood, California. Her current practice location is 512 Evergreen St Unit 108, Inglewood, California. You can reach out to her office (for appointments etc.) via phone at (310) 743-9795.

Vanessa Marmon is licensed to practice in California (license number 95020170) 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 1891442778.

Contact Information

	Vanessa Marmon, PMHNP
	512 Evergreen St Unit 108, Inglewood, CA 90302-7207
	(310) 743-9795
	Not Available

Map and Direction

Provider's Profile

Full Name	Vanessa Marmon
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	512 Evergreen St Unit 108, Inglewood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891442778
Provider Enumeration Date: 03/09/2022
Last Update Date: 03/09/2022

Medicare PECOS Information:

PECOS PAC ID: 0345621496
Enrollment ID: I20220720001818

Medical Identifiers

Medical identifiers for Vanessa Marmon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891442778	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95020170 (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. Vanessa Marmon allows following entities to bill medicare on her behalf.

Entity Name	Ehab Yacoub Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071

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. Vanessa Marmon 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
Vanessa Marmon, PMHNP 512 Evergreen St Unit 108, Inglewood, CA 90302-7207 Ph: (310) 743-9795	Vanessa Marmon, PMHNP 512 Evergreen St Unit 108, Inglewood, CA 90302-7207 Ph: (310) 743-9795

Reviews and Comments

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Vanessa Marmon, PMHNP - Medicare Nurse Practitioner in Inglewood, CA