Lydia G Andemariam, NP in San Leandro, CA - Medicare Nurse Practitioner

Lydia G Andemariam, NP is a medicare enrolled "Nurse Practitioner - Family" in San Leandro, California. Her current practice location is 13851 E 14th St Ste 206, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at (510) 351-9373.

Lydia G Andemariam is licensed to practice in California (license number NP95030075) 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 1114736667.

Contact Information

	Lydia G Andemariam, NP
	13851 E 14th St Ste 206, San Leandro, CA 94578-2627
	(510) 351-9373
	Not Available

Map and Direction

Provider's Profile

Full Name	Lydia G Andemariam
Gender	Female
Speciality	Nurse Practitioner - Family
Location	13851 E 14th St Ste 206, San Leandro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114736667
Provider Enumeration Date: 12/30/2024
Last Update Date: 12/30/2024

Medicare PECOS Information:

PECOS PAC ID: 1153830161
Enrollment ID: I20250602002027

Medical Identifiers

Medical identifiers for Lydia G Andemariam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114736667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95030075 (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. Lydia G Andemariam allows following entities to bill medicare on her behalf.

Entity Name	West Coast Kidney
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952914681 PECOS PAC ID: 1759700149 Enrollment ID: O20201005001363

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. Lydia G Andemariam 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
Lydia G Andemariam, NP 13851 E 14th St Ste 206, San Leandro, CA 94578-2627 Ph: (510) 351-9373	Lydia G Andemariam, NP 13851 E 14th St Ste 206, San Leandro, CA 94578-2627 Ph: (510) 351-9373

Reviews and Comments

Nurse Practitioner Nurses in San Leandro, CA

Lisa Cung, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2410 Merced St, San Leandro, CA 94577 Phone: 510-278-2700 Fax: 510-278-2772
Dr. Elizabeth Macera, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 415-576-8899
Aiko Loo, RN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13939 E 14th St Ste 180, San Leandro, CA 94578 Phone: 510-263-3300 Fax: 510-263-3350
Angela Lynn Serpa, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 510-675-2153
Mrs. Erin Mary Crawford, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000
Bibekanand Gupta, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 Benedict Dr, San Leandro, CA 94577 Phone: 510-708-0415

Lydia G Andemariam, NP - Medicare Nurse Practitioner in San Leandro, CA