Anissa Ellen Spada, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Santa Ana, California. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ehab Yacoub Md Inc and her current practice location is
2010 E 1st St Ste 100, Santa Ana, California. You can reach out to her office (for appointments etc.) via phone at
(714) 556-7246.
Anissa Ellen Spada is licensed to practice in California (license number 95005139) 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 1114469111.
Physician's Profile
| Full Name | Anissa Ellen Spada |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 2010 E 1st St Ste 100, Santa Ana, 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:
- Anissa Ellen Spada graduated from medical school in 2015
NPI Data:
- NPI Number: 1114469111
- Provider Enumeration Date: 11/08/2016
- Last Update Date: 10/15/2018
Medicare PECOS Information:
- PECOS PAC ID: 1557622867
- Enrollment ID: I20180301001874
Medical Identifiers
Medical identifiers for Anissa Ellen Spada such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114469111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 95005139 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 9500139 (California) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 95005139 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ehab Yacoub Md Inc | 5092099523 | 83 |
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. Anissa Ellen Spada allows following entities to bill medicare on her behalf.
| Entity Name | Elite Pain Management Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346449394
PECOS PAC ID: 6204922388
Enrollment ID: O20081204000636 |
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| Entity Name | Ehab Yacoub Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417373713
PECOS PAC ID: 5092099523
Enrollment ID: O20170301002071 |
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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. Anissa Ellen Spada 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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Anissa Ellen Spada, NURSE PRACTITIONER
2010 E 1st St Ste 100,
Santa Ana, CA 92705-4086
Ph: (714) 556-7246 | Anissa Ellen Spada, NURSE PRACTITIONER
2010 E 1st St Ste 100,
Santa Ana, CA 92705-4086
Ph: (714) 556-7246 |
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