Ethel Antonio, NP - Medicare Counselor in Eastvale, CA

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Ethel Antonio, NP is a medicare enrolled "Nurse Practitioner - Family" provider in Eastvale, California. She graduated from healthcare school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Health Service Alliance, Carbon Health Medical Group Of California Pc and her current practice location is 14117 Limonite Ave, Eastvale, California. You can reach out to her office (for appointments etc.) via phone at (619) 220-2018.

Ethel Antonio is licensed to practice in California (license number 95007507) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386778967.

Contact Information

Ethel Antonio, NP
14117 Limonite Ave,
Eastvale, CA 92880-3864
(619) 220-2018
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameEthel Antonio
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location14117 Limonite Ave, Eastvale, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ethel Antonio graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1386778967
  • Provider Enumeration Date: 03/15/2007
  • Last Update Date: 12/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5294074860
  • Enrollment ID: I20190226000465

Medical Identifiers

Medical identifiers for Ethel Antonio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386778967NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95007507 (California)Secondary
363LF0000XNurse Practitioner - Family 95007507 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Health Service Alliance458764246711
Carbon Health Medical Group Of California Pc9032340047319

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. Ethel Antonio allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameHealthcare Partners Affiliates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659312593
PECOS PAC ID: 7315842002
Enrollment ID: O20031204001258
Entity NameHealth Service Alliance
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801307368
PECOS PAC ID: 4587642467
Enrollment ID: O20040708000369
Entity NameFoothills Psychological Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336121888
PECOS PAC ID: 9436157534
Enrollment ID: O20100318000835
Entity NameFoothills Psychological Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336121888
PECOS PAC ID: 9436157534
Enrollment ID: O20100414000905
Entity NameLakeside Medical Organization A Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831426642
PECOS PAC ID: 7618005166
Enrollment ID: O20100505000015
Entity NameNewcare Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194039826
PECOS PAC ID: 6800070905
Enrollment ID: O20110414000570
Entity NameCarbon Health Medical Group Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417294232
PECOS PAC ID: 9032340047
Enrollment ID: O20140314001276

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. Ethel Antonio 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 AddressPractice Location Address
Ethel Antonio, NP
14117 Limonite Ave,
Eastvale, CA 92880-3864

Ph: (619) 220-2018		Ethel Antonio, NP
14117 Limonite Ave,
Eastvale, CA 92880-3864

Ph: (619) 220-2018

Reviews and Comments


Nurse Practitioner in Eastvale, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.