| Michelle R Medina, FNP-BC | |
|
10800 Magnolia Ave, Riverside, CA 92505-3043 | |
| (951) 557-3015 | |
| Not Available |
| Full Name | Michelle R Medina |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 10800 Magnolia Ave, Riverside, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497129340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95011851 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 2015032210 (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | Cep America - Neurology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225569346 PECOS PAC ID: 3971871500 Enrollment ID: O20170622001181 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle R Medina, FNP-BC 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (951) 557-3015 | Michelle R Medina, FNP-BC 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (951) 557-3015 |
Alice Chinyere Echeta, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4960 Arlington Ave Ste B, Riverside, CA 92504 Phone: 951-341-8930 |
Obianuju Rivera, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3801 University Ave Ste 270, Riverside, CA 92501 Phone: 855-427-2778 Fax: 951-530-3997 |
Luamy Gabriela Cornejo, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 Brockton Ave Ste 100, Riverside, CA 92501 Phone: 951-684-1293 |
Christine Pham Duong, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5549 Van Buren Blvd, Riverside, CA 92503 Phone: 951-324-5901 Fax: 877-778-9472 |
Mrs. Desiree C Nwigwe, APRN, PMHNP, PHN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 9990 County Farm Rd, Riverside, CA 92503 Phone: 951-358-4000 |
Namrata Nicole Sihotang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19330 Jesse Ln Ste 100, Riverside, CA 92508 Phone: 844-827-8000 |
Maiying Her, CPNP-PC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2933 University Ave, Riverside, CA 92507 Phone: 951-224-8220 |