Charlottee De Leoz, in Azusa, CA - Medicare Nurse Practitioner

Charlottee De Leoz, is a medicare enrolled "Nurse Practitioner" in Azusa, California. Her current practice location is 970 Parkside St, Azusa, California. You can reach out to her office (for appointments etc.) via phone at (626) 991-6729.

Charlottee De Leoz is licensed to practice in California (license number 95024455) 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 1851092415.

Contact Information

	Charlottee De Leoz,
	970 Parkside St, Azusa, CA 91702-4242
	(626) 991-6729
	Not Available

Map and Direction

Provider's Profile

Full Name	Charlottee De Leoz
Gender	Female
Speciality	Nurse Practitioner
Location	970 Parkside St, Azusa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851092415
Provider Enumeration Date: 03/10/2023
Last Update Date: 03/10/2023

Medicare PECOS Information:

PECOS PAC ID: 6608223060
Enrollment ID: I20231107003554

Medical Identifiers

Medical identifiers for Charlottee De Leoz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851092415	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95024455 (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. Charlottee De Leoz allows following entities to bill medicare on her behalf.

Entity Name	Global Integrated Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578019485 PECOS PAC ID: 6709173487 Enrollment ID: O20160923000187

Entity Name	Global Mobile Medical Alliances, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467960310 PECOS PAC ID: 4688934458 Enrollment ID: O20180216000940

Entity Name	Global Medical Grp Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629682067 PECOS PAC ID: 7113336017 Enrollment ID: O20210505001720

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. Charlottee De Leoz 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
Charlottee De Leoz, 970 Parkside St, Azusa, CA 91702-4242 Ph: (626) 991-6729	Charlottee De Leoz, 970 Parkside St, Azusa, CA 91702-4242 Ph: (626) 991-6729

Reviews and Comments

Nurse Practitioner Nurses in Azusa, CA

Mrs. Veronika J Weller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 N Azusa Ave, Azusa, CA 91702 Phone: 626-969-7885
Suzanne Kang, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 E Alosta Ave # Ca, Azusa, CA 91702 Phone: 562-688-6894
Mrs. Linda Marie Schutz, RNC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 E Foothill Blvd, Azusa, CA 91702 Phone: 626-815-5403 Fax: 626-815-5414
Hannah Francisco Tsai, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 E Alosta Ave, Azusa, CA 91702 Phone: 626-815-2100 Fax: 626-815-2102
Leslie Paredes-plaza, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6015 N Goodway Dr, Azusa, CA 91702 Phone: 626-722-7073
Irina Thomas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 E Foothill Blvd, Azusa, CA 91702 Phone: 626-815-5386
Mr. Gareth Huang Song, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 986 Sweetbriar Ln Unit A, Azusa, CA 91702 Phone: 909-319-5838

Charlottee De Leoz, - Medicare Nurse Practitioner in Azusa, CA