Marisa Velasquez, in Reseda, CA - Medicare Nurse Practitioner

Marisa Velasquez, is a medicare enrolled "Nurse Practitioner - Women's Health" in Reseda, California. Her current practice location is 18031 Victory Blvd, Reseda, California. You can reach out to her office (for appointments etc.) via phone at (559) 920-2922.

Marisa Velasquez is licensed to practice in California (license number 95016627) 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 1942897376.

Contact Information

	Marisa Velasquez,
	18031 Victory Blvd, Reseda, CA 91335-6421
	(559) 920-2922
	Not Available

Map and Direction

Provider's Profile

Full Name	Marisa Velasquez
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	18031 Victory Blvd, Reseda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942897376
Provider Enumeration Date: 12/31/2020
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 5193133445
Enrollment ID: I20210426002189

Medical Identifiers

Medical identifiers for Marisa Velasquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942897376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	95016627 (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. Marisa Velasquez 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. Marisa Velasquez 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
Marisa Velasquez, 18031 Victory Blvd, Reseda, CA 91335-6421 Ph: (559) 920-2922	Marisa Velasquez, 18031 Victory Blvd, Reseda, CA 91335-6421 Ph: (559) 920-2922

Reviews and Comments

Nurse Practitioner Nurses in Reseda, CA

Jiyeon Kim, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18107 Sherman Way Ste 200, Reseda, CA 91335 Phone: 818-783-1002
Mr. Elizabeth Salazar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6906 Topeka Dr, Reseda, CA 91335 Phone: 818-454-5973
Adrean Kentray Knight, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7150 Tampa Ave, Reseda, CA 91335 Phone: 888-227-3745
Ms. Lydia Kay Wilson, GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18855 Victory Blvd, Attn: Billing Department, Reseda, CA 91335 Phone: 818-774-3354 Fax: 818-757-4401
Shenelle Gunatilake, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18908 Strathern St, Reseda, CA 91335 Phone: 818-414-1175
Mrs. Elizabeth Videla Lalane, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19353 Victory Blvd., Reseda, CA 91335 Phone: 818-996-4742
Patricia Jeng, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18040 Sherman Way, Suite 200, Reseda, CA 91335 Phone: 818-212-2223 Fax: 818-212-2224

Marisa Velasquez, - Medicare Nurse Practitioner in Reseda, CA