Yoggie Efendy, NP in Colton, CA - Medicare Nurse Practitioner

Yoggie Efendy, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Colton, California. Her current practice location is 1430 E Cooley Dr Ste 122, Colton, California. You can reach out to her office (for appointments etc.) via phone at (909) 572-6226.

Yoggie Efendy is licensed to practice in California (license number 95001545) 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 1366831653.

Contact Information

	Yoggie Efendy, NP
	1430 E Cooley Dr Ste 122, Colton, CA 92324-3944
	(909) 572-6226
	Not Available

Map and Direction

Provider's Profile

Full Name	Yoggie Efendy
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1430 E Cooley Dr Ste 122, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366831653
Provider Enumeration Date: 01/09/2015
Last Update Date: 03/28/2023

Medicare PECOS Information:

PECOS PAC ID: 4486955523
Enrollment ID: I20151215002282

Medical Identifiers

Medical identifiers for Yoggie Efendy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366831653	NPI	-	NPPES
95001545	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95001545 (California)	Primary
363LF0000X	Nurse Practitioner - Family	95001545 (California)	Secondary

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. Yoggie Efendy allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Entity Name	Mountain View Urgent Care Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023306784 PECOS PAC ID: 7214107861 Enrollment ID: O20110908002279

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. Yoggie Efendy 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
Yoggie Efendy, NP 415 East Avenue I, Lancaster, CA 93535-2432 Ph: (661) 522-6770	Yoggie Efendy, NP 1430 E Cooley Dr Ste 122, Colton, CA 92324-3944 Ph: (909) 572-6226

Reviews and Comments

Nurse Practitioner Nurses in Colton, CA

Mr. Raymond Balagtas Tinio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 829 N La Cadena Dr, Colton, CA 92324 Phone: 562-310-5772 Fax: 818-752-9911
Mrs. Esther Y Lo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1181 N Mount Vernon Ave, Colton, CA 92324 Phone: 909-498-2356 Fax: 877-824-9080
Ms. Maria R Lawrence, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Center For Employee Health And Wellness, Colton, CA 92324 Phone: 909-580-1701 Fax: 909-580-1359
Venice Ababat, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1449 Linville Ln, Colton, CA 92324 Phone: 909-835-8864
Nicole Genevieve Williams, MD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2186 Fax: 909-580-3814
Adaobi Maureen Adimorah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145 Fax: 909-580-2165
Clara Nnadi, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 E Washington St, Colton, CA 92324 Phone: 909-887-2991 Fax: 909-887-5694

Yoggie Efendy, NP - Medicare Nurse Practitioner in Colton, CA