Ericson P Reyes, - Medicare Nurse Practitioner in Lakewood, CA

Ericson P Reyes, is a medicare enrolled "Nurse Practitioner" in Lakewood, California. His current practice location is 3300 E South St Ste 308, Lakewood, California. You can reach out to his office (for appointments etc.) via phone at (562) 630-3111.

Ericson P Reyes is licensed to practice in California (license number NP15834) 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 1740397413.

Contact Information

Ericson P Reyes,
3300 E South St Ste 308,
Lakewood, CA 90805-4598
(562) 630-3111
(562) 630-3107

Map and Direction




Provider's Profile

Full NameEricson P Reyes
GenderMale
SpecialityNurse Practitioner
Location3300 E South St Ste 308, Lakewood, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740397413
  • Provider Enumeration Date: 08/25/2006
  • Last Update Date: 10/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739187907
  • Enrollment ID: I20061122000233

Medical Identifiers

Medical identifiers for Ericson P Reyes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740397413NPI-NPPES
NP15834OtherCANURSE PRACTITIONER LICENS
515085OtherCARN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner NP15834 (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. Ericson P Reyes allows following entities to bill medicare on his behalf.
Entity NameSouthland Renal Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730110495
PECOS PAC ID: 3476580838
Enrollment ID: O20050718001019

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. Ericson P Reyes 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 AddressPractice Location Address
Ericson P Reyes,
Po Box 879,
Lakewood, CA 90714-0879

Ph: (562) 630-3111
Ericson P Reyes,
3300 E South St Ste 308,
Lakewood, CA 90805-4598

Ph: (562) 630-3111

Reviews and Comments


Nurse Practitioner Nurses in Lakewood, CA

Susan Long, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3300 E South St Ste 308, Lakewood, CA 90805
Phone: 562-630-3111    
Phillip Neri Aguilar, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6010 Briercrest Ave, Lakewood, CA 90713
Phone: 562-644-6090    
Lilibeth Salazar, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3300 E South St Ste 206, Lakewood, CA 90805
Phone: 562-232-2380    
Ms. Alexandra Gensemer, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3700 South St, Lakewood, CA 90712
Phone: 562-602-6800    
Mrs. Ivy Oliveros Caparroso, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4222 Conquista Ave, Lakewood, CA 90713
Phone: 310-938-8737    
Lucetta Waiying Chiu, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3650 South St Ste 210, Lakewood, CA 90712
Phone: 562-630-0910    
Jean Michelle Mendiola Mayuga, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5424 Woodruff Ave, Lakewood, CA 90713
Phone: 562-452-0038    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.