Mae Khristine Ubaldo Adriano, CPNP in Pacoima, CA

Mae Khristine Ubaldo Adriano, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Pacoima, California. Her current practice location is 12540 Pierce St, Pacoima, California. You can reach out to her office (for appointments etc.) via phone at (818) 897-2193.

Mae Khristine Ubaldo Adriano is licensed to practice in California (license number 95007620) 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 1285146977.

Contact Information

	Mae Khristine Ubaldo Adriano, CPNP
	12540 Pierce St, Pacoima, CA 91331-1701
	(818) 897-2193
	Not Available

Map and Direction

Provider's Profile

Full Name	Mae Khristine Ubaldo Adriano
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	12540 Pierce St, Pacoima, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285146977
Provider Enumeration Date: 11/02/2017
Last Update Date: 03/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7012278856
Enrollment ID: I20180219001812

Medical Identifiers

Medical identifiers for Mae Khristine Ubaldo Adriano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285146977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	95007620 (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. Mae Khristine Ubaldo Adriano allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Mae Khristine Ubaldo Adriano 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
Mae Khristine Ubaldo Adriano, CPNP 15109 Tuba St, Mission Hills, CA 91345-2734 Ph: (310) 963-1589	Mae Khristine Ubaldo Adriano, CPNP 12540 Pierce St, Pacoima, CA 91331-1701 Ph: (818) 897-2193

Reviews and Comments

Nurse Practitioner Nurses in Pacoima, CA

Jenny L. Yoon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12756 Van Nuys Blvd, Pacoima, CA 91331 Phone: 818-896-0531
Angie-kolleen Sandico Tan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9606 Cherry Hill St, Pacoima, CA 91331 Phone: 323-620-7412
Siranush Grigoryan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13630 Van Nuys Blvd, Pacoima, CA 91331 Phone: 747-888-2584
Ms. Latonya Burnell, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12756 Van Nuys Blvd, Pacoima, CA 91331 Phone: 818-896-0531 Fax: 818-896-5850
Patrick Murphy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 Phone: 818-896-1161 Fax: 818-896-5069
Mrs. Urmila (umi) Mukherjee, RNP/CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12756 Van Nuys Blvd, Pacoima, CA 91331 Phone: 818-896-0531 Fax: 818-896-5850

Mae Khristine Ubaldo Adriano, CPNP - Medicare Nurse Practitioner in Pacoima, CA