Donna Mirote Siazon, in San Bernardino, CA - Medicare Nurse Practitioner

Donna Mirote Siazon, is a medicare enrolled "Nurse Practitioner" in San Bernardino, California. Her current practice location is 1800 Western Ave Ste 303, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (909) 887-6715.

Donna Mirote Siazon is licensed to practice in California (license number 95013252) 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 1952946618.

Contact Information

	Donna Mirote Siazon,
	1800 Western Ave Ste 303, San Bernardino, CA 92411-1354
	(909) 887-6715
	Not Available

Map and Direction

Provider's Profile

Full Name	Donna Mirote Siazon
Gender	Female
Speciality	Nurse Practitioner
Location	1800 Western Ave Ste 303, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952946618
Provider Enumeration Date: 11/16/2019
Last Update Date: 11/16/2019

Medicare PECOS Information:

PECOS PAC ID: 2365837390
Enrollment ID: I20230221002836

Medical Identifiers

Medical identifiers for Donna Mirote Siazon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952946618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95013252 (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. Donna Mirote Siazon allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Donna Mirote Siazon 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
Donna Mirote Siazon, 12479 Overland Dr, Rancho Cucamonga, CA 91739-8967 Ph: (909) 803-4102	Donna Mirote Siazon, 1800 Western Ave Ste 303, San Bernardino, CA 92411-1354 Ph: (909) 887-6715

Reviews and Comments

Nurse Practitioner Nurses in San Bernardino, CA

Ms. Mariana Concepcion Moualem, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Western Ave Ste 305, San Bernardino, CA 92411 Phone: 909-880-9993 Fax: 909-880-9998
Brenda Jean Boyle, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1455 East 3rd Street, San Bernardino, CA 92410 Phone: 909-382-7100 Fax: 909-382-7103
Mrs. Jocelyn Ellen Seitz-keough, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1998 N Arrowhead Ave, San Bernardino, CA 92405 Phone: 909-882-0988
Laura Elise Hiday, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Childrens Assessment Ctr, 700 E Gilbert St, San Bernardino, CA 92415 Phone: 909-382-3535
Laura Andrews, NURSE PRACTIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 598 N F St, San Bernardino, CA 92410 Phone: 909-888-8152 Fax: 909-884-7530
Ms. Dawn Michelle Downs, MSN, FNP-BC, RN, CCR Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18592 Cajon Blvd, San Bernardino, CA 92407 Phone: 951-283-9861
Saul Ramirez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Western Ave Ste 401, San Bernardino, CA 92411 Phone: 909-880-3677

Donna Mirote Siazon, - Medicare Nurse Practitioner in San Bernardino, CA