Anna Jadwiga Hadilaksono, NP - Medicare Nurse Practitioner in Pismo Beach, CA

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Anna Jadwiga Hadilaksono, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pismo Beach, California. Her current practice location is 128 La Colima, Pismo Beach, California. You can reach out to her office (for appointments etc.) via phone at (805) 608-5310.

Anna Jadwiga Hadilaksono is licensed to practice in California (license number 95010045) 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 1922582832.

Contact Information

Anna Jadwiga Hadilaksono, NP
128 La Colima,
Pismo Beach, CA 93449-2841
(805) 608-5310
(805) 254-0128

Map and Direction




Provider's Profile

Full NameAnna Jadwiga Hadilaksono
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location128 La Colima, Pismo Beach, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922582832
  • Provider Enumeration Date: 09/18/2018
  • Last Update Date: 09/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2961744131
  • Enrollment ID: I20190508003346

Medical Identifiers

Medical identifiers for Anna Jadwiga Hadilaksono such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922582832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95010045 (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. Anna Jadwiga Hadilaksono allows following entities to bill medicare on her behalf.
Entity NameRestorative Spine and Pain Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588234447
PECOS PAC ID: 8426451428
Enrollment ID: O20210728003210

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. Anna Jadwiga Hadilaksono 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
Anna Jadwiga Hadilaksono, NP
128 La Colima,
Pismo Beach, CA 93449-2841

Ph: (805) 608-5310		Anna Jadwiga Hadilaksono, NP
128 La Colima,
Pismo Beach, CA 93449-2841

Ph: (805) 608-5310

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).

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