Edil Evangelista, MSN RN PHN FNPC CCRN in Lake Elsinore, CA

Edil Evangelista, MSN RN PHN FNPC CCRN is a medicare enrolled "Nurse Practitioner - Family" in Lake Elsinore, California. His current practice location is 425 Diamond Dr Ste 105, Lake Elsinore, California. You can reach out to his office (for appointments etc.) via phone at (951) 674-8779.

Edil Evangelista is licensed to practice in California (license number 95012122) 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 1184272759.

Contact Information

	Edil Evangelista, MSN RN PHN FNPC CCRN
	425 Diamond Dr Ste 105, Lake Elsinore, CA 92530-4495
	(951) 674-8779
	Not Available

Map and Direction

Provider's Profile

Full Name	Edil Evangelista
Gender	Male
Speciality	Nurse Practitioner - Family
Location	425 Diamond Dr Ste 105, Lake Elsinore, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184272759
Provider Enumeration Date: 08/28/2019
Last Update Date: 10/01/2019

Medicare PECOS Information:

PECOS PAC ID: 8426462169
Enrollment ID: I20210120003368

Medical Identifiers

Medical identifiers for Edil Evangelista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184272759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95012122 (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. Edil Evangelista allows following entities to bill medicare on his behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Pacific Heart Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932434206 PECOS PAC ID: 8022146265 Enrollment ID: O20100510000633

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196

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. Edil Evangelista 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
Edil Evangelista, MSN RN PHN FNPC CCRN 27649 Peppergrass Ct, Murrieta, CA 92562-2806 Ph: (714) 345-7739	Edil Evangelista, MSN RN PHN FNPC CCRN 425 Diamond Dr Ste 105, Lake Elsinore, CA 92530-4495 Ph: (951) 674-8779

Reviews and Comments

Nurse Practitioner Nurses in Lake Elsinore, CA

Vladimir Aguilar, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29430 Linden Pl, Lake Elsinore, CA 92530 Phone: 951-452-3202
Mrs. Andrea Arthur, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31739 Riverside Dr Ste A1, Lake Elsinore, CA 92530 Phone: 951-245-0505
Gina Michelle Musolino, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29416 Rocky Canyon Dr, Lake Elsinore, CA 92530 Phone: 909-921-5904
Mayra Leticia Padilla Arechiga, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 N Main St, Lake Elsinore, CA 92530 Phone: 855-505-7467
Ms. Abigail Coiner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Diamond Dr, Lake Elsinore, CA 92530 Phone: 951-674-4114
Rita Goode, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34222 Toyon Ct, Lake Elsinore, CA 92532 Phone: 951-836-5503

Edil Evangelista, MSN RN PHN FNPC CCRN - Medicare Nurse Practitioner in Lake Elsinore, CA