Mrs Dillys Kermah Owusu, AGPCNP-BC - Medicare Nurse Practitioner in Moreno Valley, CA

Mrs Dillys Kermah Owusu, AGPCNP-BC is a medicare enrolled "Nurse Practitioner" in Moreno Valley, California. Her current practice location is 24853 Alessandro Blvd, Moreno Valley, California. You can reach out to her office (for appointments etc.) via phone at (888) 562-5442.

Mrs Dillys Kermah Owusu is licensed to practice in California (license number 95004495) 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 1396124533.

Contact Information

Mrs Dillys Kermah Owusu, AGPCNP-BC
24853 Alessandro Blvd,
Moreno Valley, CA 92553-6102
(888) 562-5442
(562) 499-6171

Map and Direction




Provider's Profile

Full NameMrs Dillys Kermah Owusu
GenderFemale
SpecialityNurse Practitioner
Location24853 Alessandro Blvd, Moreno Valley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396124533
  • Provider Enumeration Date: 05/20/2015
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8123393089
  • Enrollment ID: I20171004000037

Medical Identifiers

Medical identifiers for Mrs Dillys Kermah Owusu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396124533NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 95004495 (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. Mrs Dillys Kermah Owusu allows following entities to bill medicare on her behalf.
Entity NameInnovative Medical Solutions Inc A Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972624955
PECOS PAC ID: 5294783080
Enrollment ID: O20050107000871
Entity NameMolina Healthcare Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194811760
PECOS PAC ID: 7517957608
Enrollment ID: O20061101000348
Entity NameSenior Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629253505
PECOS PAC ID: 0446339469
Enrollment ID: O20080501000744

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. Mrs Dillys Kermah Owusu 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
Mrs Dillys Kermah Owusu, AGPCNP-BC
200 Oceangate Ste 100,
Long Beach, CA 90802-4317

Ph: (562) 499-6191
Mrs Dillys Kermah Owusu, AGPCNP-BC
24853 Alessandro Blvd,
Moreno Valley, CA 92553-6102

Ph: (888) 562-5442

Reviews and Comments


Nurse Practitioner Nurses in Moreno Valley, CA

Lajean Avon Forbes, CNM
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12712 Heacock St, Suite 7, Moreno Valley, CA 92553
Phone: 951-924-6824    Fax: 951-601-9302
Susan Launa Weeks, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555
Phone: 951-486-5162    Fax: 818-843-5224
Mfon-obong Nseuwa Etukudoh,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12900 Frederick St Ste C, Moreno Valley, CA 92553
Phone: 888-743-7526    
Magen Ashley Costilla,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 26600 Cactus Ave Ste 300, Moreno Valley, CA 92555
Phone: 951-988-9500    
Holly Vanderhyde, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12364 Perris Blvd, Moreno Valley, CA 92557
Phone: 605-209-6421    
Mrs. Vanessa Renee Smith Constantino, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 25970 Iris Ave Ste 3b, Moreno Valley, CA 92551
Phone: 951-924-2775    
Lloydette H Brewah, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14934 Tarragon Way, Moreno Valley, CA 92553
Phone: 951-269-0542    

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).

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