Hilda Licon, - Medicare Nurse Anesthetist, Certified Registered in Loma Linda, CA

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Hilda Licon, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Loma Linda, California. Her current practice location is 11234 Anderson St, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-8173.

Hilda Licon is licensed to practice in California (license number 95001895) 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 1356883466.

Contact Information

Hilda Licon,
11234 Anderson St,
Loma Linda, CA 92354-2804
(909) 558-8173
Not Available

Map and Direction




Provider's Profile

Full NameHilda Licon
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location11234 Anderson St, Loma Linda, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356883466
  • Provider Enumeration Date: 11/07/2016
  • Last Update Date: 08/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820365125
  • Enrollment ID: I20170516002596

Medical Identifiers

Medical identifiers for Hilda Licon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356883466NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP132500 (Texas)Secondary
367500000XNurse Anesthetist, Certified Registered 95001895 (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. Hilda Licon allows following entities to bill medicare on her behalf.
Entity NameEl Paso County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316936990
PECOS PAC ID: 2365431509
Enrollment ID: O20040511001452

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. Hilda Licon 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
Hilda Licon,
10730 Church St,
Rancho Cucamonga, CA 91730-8953

Ph: (915) 765-9271		Hilda Licon,
11234 Anderson St,
Loma Linda, CA 92354-2804

Ph: (909) 558-8173

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Loma Linda, CA

Joseph M Wilkinson, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 11234 Anderson St, Loma Linda, CA 92354
Phone: 909-558-4475    
Kurt Dieter Cao, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 11234 Anderson St, Loma Linda, CA 92354
Phone: 909-558-8173    
Edwin E Dupper, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 11234 Anderson St, Loma Linda, CA 92354
Phone: 909-558-4475    
Mr. Jose Kadry Ii,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 11234 Anderson St, Loma Linda, CA 92354
Phone: 909-558-7811    Fax: 909-558-4143
Rochelle Antoinette Solorzano,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 11234 Anderson St, Loma Linda, CA 92354
Phone: 909-558-7811    
Jason John Fry, CRNA, DNP
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 11234 Anderson St Ste A504, Loma Linda, CA 92350
Phone: 909-558-7811    
Karin Zabel Nercissian,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 11201 Benton St, Loma Linda, CA 92357
Phone: 909-825-7084    

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.