Vickie Renee Mcpherson, NURSE PRACTITIONER in Los Angeles, CA

Vickie Renee Mcpherson, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Los Angeles, California. Her current practice location is 522 S San Pedro St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (562) 867-7999.

Vickie Renee Mcpherson is licensed to practice in California (license number 95010032) 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 1376954818.

Contact Information

	Vickie Renee Mcpherson, NURSE PRACTITIONER
	522 S San Pedro St, Los Angeles, CA 90013-2102
	(562) 867-7999
	Not Available

Map and Direction

Provider's Profile

Full Name	Vickie Renee Mcpherson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	522 S San Pedro 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: 1376954818
Provider Enumeration Date: 05/19/2014
Last Update Date: 06/29/2023

Medicare PECOS Information:

PECOS PAC ID: 2365782356
Enrollment ID: I20190329001861

Medical Identifiers

Medical identifiers for Vickie Renee Mcpherson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376954818	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95010032 (California)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	814533 (Nevada)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95010032 (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. Vickie Renee Mcpherson allows following entities to bill medicare on her behalf.

Entity Name	Craig M Jorgenson Md Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831261460 PECOS PAC ID: 0941103303 Enrollment ID: O20040202000087

Entity Name	Optum Medical Group Ii Rhodes P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770556037 PECOS PAC ID: 4981687779 Enrollment ID: O20040611000770

Entity Name	Ncc House Calls Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659721140 PECOS PAC ID: 3678849296 Enrollment ID: O20171026002901

Entity Name	Behavioral Health Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548765258 PECOS PAC ID: 4385998954 Enrollment ID: O20181116002509

Entity Name	Western State Behavioral Health And Psychiatric Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598379117 PECOS PAC ID: 1456741784 Enrollment ID: O20211201000524

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. Vickie Renee Mcpherson 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
Vickie Renee Mcpherson, NURSE PRACTITIONER 522 S San Pedro St, Los Angeles, CA 90013-2102 Ph: (562) 867-7999	Vickie Renee Mcpherson, NURSE PRACTITIONER 522 S San Pedro St, Los Angeles, CA 90013-2102 Ph: (562) 867-7999

Reviews and Comments

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Vickie Renee Mcpherson, NURSE PRACTITIONER - Medicare Nurse Practitioner in Los Angeles, CA