Florencia Karina Miranda Chumpitaz, NP in Lakeport, CA

Florencia Karina Miranda Chumpitaz, NP is a medicare enrolled "Nurse Practitioner - Family" in Lakeport, California. Her current practice location is 359 Lakeport Blvd, Lakeport, California. You can reach out to her office (for appointments etc.) via phone at (707) 513-6002.

Florencia Karina Miranda Chumpitaz is licensed to practice in California (license number 95027548) 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 1356121404.

Contact Information

	Florencia Karina Miranda Chumpitaz, NP
	359 Lakeport Blvd, Lakeport, CA 95453-5412
	(707) 513-6002
	Not Available

Map and Direction

Provider's Profile

Full Name	Florencia Karina Miranda Chumpitaz
Gender	Female
Speciality	Nurse Practitioner - Family
Location	359 Lakeport Blvd, Lakeport, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356121404
Provider Enumeration Date: 10/04/2023
Last Update Date: 10/09/2023

Medicare PECOS Information:

PECOS PAC ID: 0345771291
Enrollment ID: I20241002001287

Medical Identifiers

Medical identifiers for Florencia Karina Miranda Chumpitaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356121404	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95027548 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95027548 (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. Florencia Karina Miranda Chumpitaz allows following entities to bill medicare on her behalf.

Entity Name	Lake County Tribal Health Consortium Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323

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. Florencia Karina Miranda Chumpitaz 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
Florencia Karina Miranda Chumpitaz, NP Po Box 672, Cobb, CA 95426-0672 Ph: (707) 513-6002	Florencia Karina Miranda Chumpitaz, NP 359 Lakeport Blvd, Lakeport, CA 95453-5412 Ph: (707) 513-6002

Reviews and Comments

Nurse Practitioner Nurses in Lakeport, CA

Pamela Balch Maes, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5108 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-1840 Fax: 707-262-5844
Mary Benson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 987 Parallel Dr Ste C, Lakeport, CA 95453 Phone: 707-262-5088
Charissa M Barsos, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 Fax: 707-263-5019
Ms. Patricia Lynn Sanders, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd East, Lakeport, CA 95453 Phone: 707-262-5088 Fax: 707-262-5135
Ellen Marie Boersma, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5150 Hill Rd E, #f, Lakeport, CA 95453 Phone: 707-262-3060
Ms. Chalice Ann Addis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 Fax: 707-263-1909

Florencia Karina Miranda Chumpitaz, NP - Medicare Nurse Practitioner in Lakeport, CA