Caitlin Provost Conlon, - Medicare Nurse Practitioner in Burbank, CA

  1. Home
  2. Nurse Practitioner
  3. CA
  4. Burbank
Caitlin Provost Conlon, is a medicare enrolled "Nurse Practitioner - Family" in Burbank, California. Her current practice location is 191 S Buena Vista St, Burbank, California. You can reach out to her office (for appointments etc.) via phone at (818) 557-2671.

Caitlin Provost Conlon is licensed to practice in California (license number 95018484) 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 1003572579.

Contact Information

Caitlin Provost Conlon,
191 S Buena Vista St,
Burbank, CA 91505-4554
(818) 557-2671
Not Available

Map and Direction




Provider's Profile

Full NameCaitlin Provost Conlon
GenderFemale
SpecialityNurse Practitioner - Family
Location191 S Buena Vista St, Burbank, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003572579
  • Provider Enumeration Date: 11/09/2021
  • Last Update Date: 11/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143612044
  • Enrollment ID: I20220127000623

Medical Identifiers

Medical identifiers for Caitlin Provost Conlon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003572579NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95018484 (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. Caitlin Provost Conlon allows following entities to bill medicare on her behalf.
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

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. Caitlin Provost Conlon 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
Caitlin Provost Conlon,
191 S Buena Vista St Ste 200,
Burbank, CA 91505-4542

Ph: (818) 557-2671		Caitlin Provost Conlon,
191 S Buena Vista St,
Burbank, CA 91505-4554

Ph: (818) 557-2671

Reviews and Comments


Nurse Practitioner Nurses in Burbank, CA

Anasheh Avanes, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1130 W Olive Ave, Burbank, CA 91506
Phone: 747-477-1411    
Jennifer S Lee, AGNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 S Buena Vista St Ste 325, Burbank, CA 91505
Phone: 818-842-7145    
Lynn Adora Lima, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Minute Clinic 9795 Burbank, 511 N Hollywood Way, Burbank, CA 91505
Phone: 818-841-0710    
Jessica Cuesta,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 241 W Olive Ave, Burbank, CA 91502
Phone: 818-848-5561    
Jesselyn Joy Walter, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1211 W Magnolia Blvd, Burbank, CA 91506
Phone: 323-620-3463    
Mrs. Forreline Grigsby Wilson, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 511 N Hollywood Way, Burbank, CA 91505
Phone: 866-389-2727    

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.