Earnest Hardiman Iv, APRN-CNP in Los Angeles, CA

Earnest Hardiman Iv, APRN-CNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Los Angeles, California. His current practice location is 1500 San Pablo St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 442-7400.

Earnest Hardiman Iv is licensed to practice in California (license number NP95016249) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134613201.

Contact Information

	Earnest Hardiman Iv, APRN-CNP
	1500 San Pablo St, Los Angeles, CA 90033-5313
	(323) 442-7400
	Not Available

Map and Direction

Provider's Profile

Full Name	Earnest Hardiman Iv
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	1500 San Pablo St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134613201
Provider Enumeration Date: 06/21/2018
Last Update Date: 01/20/2023

Medicare PECOS Information:

PECOS PAC ID: 2769728120
Enrollment ID: I20230131001964

Medical Identifiers

Medical identifiers for Earnest Hardiman Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134613201	NPI	-	NPPES
0327754	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	APRN.CNP.022953 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN.CNP.022953 (Ohio)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	NP95016249 (California)	Primary
363L00000X	Nurse Practitioner	APRN.CNP.022953 (Ohio)	Secondary

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. Earnest Hardiman Iv allows following entities to bill medicare on his behalf.

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

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. Earnest Hardiman Iv 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
Earnest Hardiman Iv, APRN-CNP Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-7400	Earnest Hardiman Iv, APRN-CNP 1500 San Pablo St, Los Angeles, CA 90033-5313 Ph: (323) 442-7400

Reviews and Comments

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Earnest Hardiman Iv, APRN-CNP - Medicare Nurse Practitioner in Los Angeles, CA