Vic Padila Managuelod, NP - Medicare Nurse Practitioner in Burbank, CA

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Vic Padila Managuelod, NP is a medicare enrolled "Nurse Practitioner" in Burbank, California. His current practice location is 630 E Cypress Ave, Apt A, Burbank, California. You can reach out to his office (for appointments etc.) via phone at (818) 813-4208.

Vic Padila Managuelod is licensed to practice in California (license number 95003644) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619335544.

Contact Information

Vic Padila Managuelod, NP
630 E Cypress Ave, Apt A,
Burbank, CA 91501-3211
(818) 813-4208
Not Available

Map and Direction




Provider's Profile

Full NameVic Padila Managuelod
GenderMale
SpecialityNurse Practitioner
Location630 E Cypress Ave, Burbank, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619335544
  • Provider Enumeration Date: 02/06/2016
  • Last Update Date: 02/06/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8325346141
  • Enrollment ID: I20160412001551

Medical Identifiers

Medical identifiers for Vic Padila Managuelod such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619335544NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 95003644 (California)Primary
363LA2100XNurse Practitioner - Acute Care 95003644 (California)Secondary
363LA2200XNurse Practitioner - Adult Health 95003644 (California)Secondary
363LF0000XNurse Practitioner - Family 95003644 (California)Secondary
363LP0200XNurse Practitioner - Pediatrics 95003644 (California)Secondary
363LP2300XNurse Practitioner - Primary Care 95003644 (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. Vic Padila Managuelod allows following entities to bill medicare on his behalf.
Entity NameCounty Of Los Angeles
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851363188
PECOS PAC ID: 1850296534
Enrollment ID: O20031204001218
Entity NameSt Johns Community Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073653630
PECOS PAC ID: 2961482690
Enrollment ID: O20040722001434
Entity NameValley Presbyterian Emergency Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033133103
PECOS PAC ID: 1951308105
Enrollment ID: O20061031000344
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. Vic Padila Managuelod 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
Vic Padila Managuelod, NP
630 E Cypress Ave, Apt A,
Burbank, CA 91501-3211

Ph: (818) 813-4208		Vic Padila Managuelod, NP
630 E Cypress Ave, Apt A,
Burbank, CA 91501-3211

Ph: (818) 813-4208

Reviews and Comments


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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.