Ethel Antonio, NP - Medicare Nurse Practitioner in Westlake Village, CA

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Ethel Antonio, NP is a medicare enrolled "Nurse Practitioner - Family" in Westlake Village, California. Her current practice location is 31194 La Baya Dr, Westlake Village, California. You can reach out to her office (for appointments etc.) via phone at (805) 341-3416.

Ethel Antonio is licensed to practice in California (license number 95007507) 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 1386778967.

Contact Information

Ethel Antonio, NP
31194 La Baya Dr,
Westlake Village, CA 91362-4022
(805) 341-3416
Not Available

Map and Direction




Provider's Profile

Full NameEthel Antonio
GenderFemale
SpecialityNurse Practitioner - Family
Location31194 La Baya Dr, Westlake Village, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386778967
  • Provider Enumeration Date: 03/15/2007
  • Last Update Date: 12/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5294074860
  • Enrollment ID: I20190226000465

Medical Identifiers

Medical identifiers for Ethel Antonio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386778967NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95007507 (California)Secondary
363LF0000XNurse Practitioner - Family 95007507 (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. Ethel Antonio allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameHealthcare Partners Affiliates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659312593
PECOS PAC ID: 7315842002
Enrollment ID: O20031204001258
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823
Entity NameMission City Community Network, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710102009
PECOS PAC ID: 1658264684
Enrollment ID: O20040204000544
Entity NameFoothills Psychological Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336121888
PECOS PAC ID: 9436157534
Enrollment ID: O20100318000835
Entity NameFoothills Psychological Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336121888
PECOS PAC ID: 9436157534
Enrollment ID: O20100414000905
Entity NameLakeside Medical Organization A Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831426642
PECOS PAC ID: 7618005166
Enrollment ID: O20100505000015
Entity NameNewcare Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194039826
PECOS PAC ID: 6800070905
Enrollment ID: O20110414000570
Entity NameZenmedicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821567488
PECOS PAC ID: 3577800390
Enrollment ID: O20190131001969

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. Ethel Antonio 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
Ethel Antonio, NP
31194 La Baya Dr,
Westlake Village, CA 91362-4022

Ph: (805) 341-3416		Ethel Antonio, NP
31194 La Baya Dr,
Westlake Village, CA 91362-4022

Ph: (805) 341-3416

Reviews and Comments


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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.