Mrs Nanette Promentilla Leonardo, FNP is a medicare enrolled "Registered Nurse - Perinatal" in Baldwin Park, California. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Home Care Md Medical Group and her current practice location is
3860 Torrey St, Baldwin Park, California. You can reach out to her office (for appointments etc.) via phone at
(626) 404-8190.
Mrs Nanette Promentilla Leonardo is licensed to practice in California (license number 700794) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1962879726.
Provider's Profile
Full Name | Mrs Nanette Promentilla Leonardo |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 12 Years |
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Location | 3860 Torrey St, Baldwin Park, California |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Nanette Promentilla Leonardo graduated from nursing school in 2012
NPI Data:
- NPI Number: 1962879726
- Provider Enumeration Date: 08/27/2015
- Last Update Date: 08/27/2015
Medicare PECOS Information:
- PECOS PAC ID: 5092000588
- Enrollment ID: I20210511001801
Medical Identifiers
Medical identifiers for Mrs Nanette Promentilla Leonardo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962879726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WL0100X | Registered Nurse - Lactation Consultant | 700794 (California) | Secondary |
163WM0102X | Registered Nurse - Maternal Newborn | 700794 (California) | Secondary |
163WP1700X | Registered Nurse - Perinatal | 700794 (California) | Primary |
163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | 700794 (California) | Secondary |
163WX0002X | Registered Nurse - Obstetric, High-risk | 700794 (California) | Secondary |
163WX0003X | Registered Nurse - Obstetric, Inpatient | 700794 (California) | Secondary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Home Care Md Medical Group | 8921437088 | 12 |
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 Nanette Promentilla Leonardo allows following entities to bill medicare on her behalf.
Entity Name | Complete Care Community Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215113964 PECOS PAC ID: 3779494190 Enrollment ID: O20080521000478 |
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Entity Name | Home Care Md Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023644556 PECOS PAC ID: 8921437088 Enrollment ID: O20200411000284 |
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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 Nanette Promentilla Leonardo 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 Nanette Promentilla Leonardo, FNP 3860 Torrey St, Baldwin Park, CA 91706-3836 Ph: (626) 404-8190 | Mrs Nanette Promentilla Leonardo, FNP 3860 Torrey St, Baldwin Park, CA 91706-3836 Ph: (626) 404-8190 |
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