Mrs Liezle M Arevalo, CRNA in Colton, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Mrs Liezle M Arevalo, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Colton, California. She graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 900 E Washington St Ste 155, Colton, California. You can reach out to her office (for appointments etc.) via phone at (909) 370-2190.

Mrs Liezle M Arevalo is licensed to practice in California (license number 3568) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043492143.

Contact Information

	Mrs Liezle M Arevalo, CRNA
	900 E Washington St Ste 155, Colton, CA 92324-4196
	(909) 370-2190
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Liezle M Arevalo
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	900 E Washington St Ste 155, Colton, 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.

Medical Education and Training:

Mrs Liezle M Arevalo graduated from nursing school in 2007

NPI Data:

NPI Number: 1043492143
Provider Enumeration Date: 11/30/2007
Last Update Date: 12/27/2021

Medicare PECOS Information:

PECOS PAC ID: 6507927993
Enrollment ID: I20210920001030

Medical Identifiers

Medical identifiers for Mrs Liezle M Arevalo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043492143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	606141 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	3568 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Panorama City	Panorama city, CA	Hospital

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. Mrs Liezle M Arevalo 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

Entity Name	Brotman Medical Anesthesia Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154378362 PECOS PAC ID: 8123027547 Enrollment ID: O20061213000236

Entity Name	Liezle Arevalo Crna Professional Nursing Anesthesia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760142244 PECOS PAC ID: 4486048899 Enrollment ID: O20220301001891

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. Mrs Liezle M Arevalo 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
Mrs Liezle M Arevalo, CRNA Po Box 3129, Torrance, CA 90510-3129 Ph: (310) 792-3914	Mrs Liezle M Arevalo, CRNA 900 E Washington St Ste 155, Colton, CA 92324-4196 Ph: (909) 370-2190

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Colton, CA

Mr. Richard William Reis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 North Pepper Avenue 2nd Floor, Anesthesia Dept., Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441
Elizabeth Karenina Manullang, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 877-873-2762
Ivan Stiger, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440
Mr. Michael T Reid, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 900 E Washington St, Ste. 100, Colton, CA 92324 Phone: 909-370-2190
Luis Merida, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000
Daniel Hioe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440
Mr. Dale Arthur Reile, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave Fl 2, Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441

Mrs Liezle M Arevalo, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Colton, CA