Mr Manuel Moran Jr, NP in Los Angeles, CA - Medicare Nurse Practitioner

Mr Manuel Moran Jr, NP is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. His current practice location is 2051 Marengo St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 409-1000.

Mr Manuel Moran Jr is licensed to practice in California (license number 95022129) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174259592.

Contact Information

	Mr Manuel Moran Jr, NP
	2051 Marengo St, Los Angeles, CA 90033-1352
	(323) 409-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Manuel Moran Jr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2051 Marengo St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174259592
Provider Enumeration Date: 07/27/2022
Last Update Date: 03/13/2025

Medicare PECOS Information:

PECOS PAC ID: 8820465990
Enrollment ID: I20221102000757

Medical Identifiers

Medical identifiers for Mr Manuel Moran Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174259592	NPI	-	NPPES
95022129	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95022129 (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. Mr Manuel Moran Jr allows following entities to bill medicare on his behalf.

Entity Name	Apple Urgent Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316005572 PECOS PAC ID: 9436192713 Enrollment ID: O20051017000244

Entity Name	Oneil Enterprises Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184186629 PECOS PAC ID: 9638506686 Enrollment ID: O20200303002834

Entity Name	Dispatchhealth-ca, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639752553 PECOS PAC ID: 4789086455 Enrollment ID: O20210719000230

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. Mr Manuel Moran Jr 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
Mr Manuel Moran Jr, NP 720 Carnegie Dr, San Bernardino, CA 92408-3538 Ph: (909) 655-4673	Mr Manuel Moran Jr, NP 2051 Marengo St, Los Angeles, CA 90033-1352 Ph: (323) 409-1000

Reviews and Comments

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Mr Manuel Moran Jr, NP - Medicare Nurse Practitioner in Los Angeles, CA