Cynthia Yolanda Medina, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ceres, California. Her current practice location is
1708 Louisville Ct, Ceres, California. You can reach out to her office (for appointments etc.) via phone at
(209) 707-6996.
Cynthia Yolanda Medina is licensed to practice in California (license number 152813) 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 1194591248.
Provider's Profile
| Full Name | Cynthia Yolanda Medina |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1708 Louisville Ct, Ceres, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194591248
- Provider Enumeration Date: 11/29/2023
- Last Update Date: 06/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 6608398003
- Enrollment ID: I20250314001193
Medical Identifiers
Medical identifiers for Cynthia Yolanda Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194591248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 95167674 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 152813 (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. Cynthia Yolanda Medina allows following entities to bill medicare on her behalf.
| Entity Name | Valley Regional Anesthesia Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578272415
PECOS PAC ID: 3870964323
Enrollment ID: O20230120001928 |
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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. Cynthia Yolanda 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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Cynthia Yolanda Medina,
1708 Louisville Ct,
Ceres, CA 95307-1860
Ph: (209) 707-6996 | Cynthia Yolanda Medina,
1708 Louisville Ct,
Ceres, CA 95307-1860
Ph: (209) 707-6996 |
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