Ms Bernadette Pamulo Gonzales, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Anaheim Hills, California. Her current practice location is
197 N. Mohler Drive, Anaheim Hills, California. You can reach out to her office (for appointments etc.) via phone at
(714) 998-7088.
Ms Bernadette Pamulo Gonzales is licensed to practice in California (license number NP 19702) 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 1346559317.
Provider's Profile
| Full Name | Ms Bernadette Pamulo Gonzales |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 197 N. Mohler Drive, Anaheim Hills, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346559317
- Provider Enumeration Date: 09/24/2010
- Last Update Date: 09/24/2010
Medicare PECOS Information:
- PECOS PAC ID: 2264755891
- Enrollment ID: I20150106001154
Medical Identifiers
Medical identifiers for Ms Bernadette Pamulo Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346559317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | NP 19702 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | F1208164 (California) | Secondary |
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. Ms Bernadette Pamulo Gonzales allows following entities to bill medicare on her behalf.
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
|---|
| Entity Name | Mirna R Chambi Md Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1265585038 PECOS PAC ID: 4385703404 Enrollment ID: O20081104000742 |
|---|
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. Ms Bernadette Pamulo Gonzales 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 |
Ms Bernadette Pamulo Gonzales, NURSE PRACTITIONER 197 N. Mohler Drive, Anaheim Hills, CA 92808 Ph: (714) 998-7088 | Ms Bernadette Pamulo Gonzales, NURSE PRACTITIONER 197 N. Mohler Drive, Anaheim Hills, CA 92808 Ph: (714) 998-7088 |
Reviews and Comments