Erica Bristol, FNP in Manhattan Beach, CA - Medicare Nurse Practitioner

Erica Bristol, FNP is a medicare enrolled "Nurse Practitioner - Family" in Manhattan Beach, California. Her current practice location is 1240 Rosecrans Ave Ste 120, Manhattan Beach, California. You can reach out to her office (for appointments etc.) via phone at (310) 658-3775.

Erica Bristol is licensed to practice in California (license number 95007713) 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 1386155299.

Contact Information

	Erica Bristol, FNP
	1240 Rosecrans Ave Ste 120, Manhattan Beach, CA 90266-2558
	(310) 658-3775
	Not Available

Map and Direction

Provider's Profile

Full Name	Erica Bristol
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1240 Rosecrans Ave Ste 120, Manhattan Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386155299
Provider Enumeration Date: 10/18/2017
Last Update Date: 09/26/2022

Medicare PECOS Information:

PECOS PAC ID: 0648645275
Enrollment ID: I20230523000360

Medical Identifiers

Medical identifiers for Erica Bristol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386155299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95007713 (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. Erica Bristol allows following entities to bill medicare on her behalf.

Entity Name	Sansum Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154354504 PECOS PAC ID: 3678471976 Enrollment ID: O20031223000607

Entity Name	Villagehealth Dm Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598273211 PECOS PAC ID: 2769812445 Enrollment ID: O20230417001772

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. Erica Bristol 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
Erica Bristol, FNP 840 Towne Center Dr, Pomona, CA 91767-5900 Ph: (909) 398-1550	Erica Bristol, FNP 1240 Rosecrans Ave Ste 120, Manhattan Beach, CA 90266-2558 Ph: (310) 658-3775

Reviews and Comments

Nurse Practitioner Nurses in Manhattan Beach, CA

Chinenye N Umunnakwe, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 N Sepulveda Blvd Ste 270, Manhattan Beach, CA 90266 Phone: 925-282-1778 Fax: 415-296-5299
La Toya Marie Butts, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-546-3481
Mr. Paul Joonhyuk Choi, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 N Sepulveda Blvd Ste 201, Manhattan Beach, CA 90266 Phone: 877-859-2341 Fax: 714-276-2604
Diana L Rand, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 N Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266 Phone: 310-510-6262
Dr. Geoffrey Patrick Okoth Odhiambo, DNP, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 N Sepulveda Blvd Ste 270, Manhattan Beach, CA 90266 Phone: 925-282-1778 Fax: 415-296-5299
John Lazar, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2900 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-546-3481
Alexander Panis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 N Sepulveda Blvd Ste 210, Manhattan Beach, CA 90266 Phone: 424-241-1557

Erica Bristol, FNP - Medicare Nurse Practitioner in Manhattan Beach, CA