Amber Lynn Medina, FNP-C is a medicare enrolled "Family Medicine" physician in California City, California. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Adventist Health Medical Center Tehachapi, Sound Physicians Emergency Medicine Of Southern California Pc and her current practice location is
9350 N Loop Blvd, California City, California. You can reach out to her office (for appointments etc.) via phone at
(760) 373-1785.
Amber Lynn Medina is licensed to practice in California (license number 95013991) 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 1104451202.
Physician's Profile
| Full Name | Amber Lynn Medina |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 9350 N Loop Blvd, California City, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amber Lynn Medina graduated from medical school in 2019
NPI Data:
- NPI Number: 1104451202
- Provider Enumeration Date: 03/09/2020
- Last Update Date: 03/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 7911336292
- Enrollment ID: I20200408000662
Medical Identifiers
Medical identifiers for Amber Lynn Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104451202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 95013991 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Adventist Health Medical Center Tehachapi | 1456646629 | 71 |
| Sound Physicians Emergency Medicine Of Southern California Pc | 9436406964 | 61 |
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. Amber Lynn Medina allows following entities to bill medicare on her behalf.
| Entity Name | Sound Physicians Emergency Medicine Of Southern California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194180968
PECOS PAC ID: 9436406964
Enrollment ID: O20180716001079 |
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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. Amber Lynn Medina 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 |
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Amber Lynn Medina, FNP-C
9350 N Loop Blvd,
California City, CA 93505-2269
Ph: (760) 373-1785 | Amber Lynn Medina, FNP-C
9350 N Loop Blvd,
California City, CA 93505-2269
Ph: (760) 373-1785 |
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