Audrey Lynn Eaton, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" physician in San Diego, California. Her current practice location is
1075 Camino Del Rio S, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(619) 881-4500.
Audrey Lynn Eaton is licensed to practice in California (license number 18489) 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 1669611299.
Physician's Profile
| Full Name | Audrey Lynn Eaton |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1075 Camino Del Rio S, San Diego, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669611299
- Provider Enumeration Date: 02/04/2009
- Last Update Date: 12/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 3678804184
- Enrollment ID: I20191015002104
Medical Identifiers
Medical identifiers for Audrey Lynn Eaton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669611299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 18489 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 18489 (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. Audrey Lynn Eaton allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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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. Audrey Lynn Eaton 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 |
Audrey Lynn Eaton, NURSE PRACTITIONER 34800 Bob Wilson Dr, San Diego, CA 92134-5000 Ph: (619) 532-6950 | Audrey Lynn Eaton, NURSE PRACTITIONER 1075 Camino Del Rio S, San Diego, CA 92108-3538 Ph: (619) 881-4500 |
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