Clarissa Samaniego, NP in Colton, CA - Medicare Nurse Practitioner

Clarissa Samaniego, NP is a medicare enrolled "Nurse Practitioner" in Colton, California. Her current practice location is 400 N Pepper Ave, Colton, California. You can reach out to her office (for appointments etc.) via phone at (909) 580-1000.

Clarissa Samaniego is licensed to practice in California (license number 95013621) 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 1174172423.

Contact Information

	Clarissa Samaniego, NP
	400 N Pepper Ave, Colton, CA 92324-1801
	(909) 580-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Clarissa Samaniego
Gender	Female
Speciality	Nurse Practitioner
Location	400 N Pepper Ave, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174172423
Provider Enumeration Date: 09/10/2019
Last Update Date: 05/26/2023

Medicare PECOS Information:

PECOS PAC ID: 1153787155
Enrollment ID: I20230517002378

Medical Identifiers

Medical identifiers for Clarissa Samaniego such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174172423	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95059222 (California)	Secondary
363L00000X	Nurse Practitioner	95013621 (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. Clarissa Samaniego allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Clarissa Samaniego 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
Clarissa Samaniego, NP 2010 Clementine St, Redlands, CA 92374-1629 Ph: (951) 251-2639	Clarissa Samaniego, NP 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1000

Reviews and Comments

Nurse Practitioner Nurses in Colton, CA

Mr. Raymond Balagtas Tinio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 829 N La Cadena Dr, Colton, CA 92324 Phone: 562-310-5772 Fax: 818-752-9911
Mrs. Esther Y Lo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1181 N Mount Vernon Ave, Colton, CA 92324 Phone: 909-498-2356 Fax: 877-824-9080
Ms. Maria R Lawrence, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Center For Employee Health And Wellness, Colton, CA 92324 Phone: 909-580-1701 Fax: 909-580-1359
Venice Ababat, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1449 Linville Ln, Colton, CA 92324 Phone: 909-835-8864
Nicole Genevieve Williams, MD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2186 Fax: 909-580-3814
Jane Nwokeabia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145
Adaobi Maureen Adimorah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145 Fax: 909-580-2165

Clarissa Samaniego, NP - Medicare Nurse Practitioner in Colton, CA