Ms Mia De Leon, NP in Westlake Village, CA - Medicare Nurse Practitioner

Ms Mia De Leon, NP is a medicare enrolled "Nurse Practitioner" in Westlake Village, California. She graduated from nursing school in 1997 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 960 S Westlake Blvd Ste 208, Westlake Village, California. You can reach out to her office (for appointments etc.) via phone at (805) 379-5970.

Ms Mia De Leon is licensed to practice in California (license number CA497626) 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 1700119195.

Contact Information

	Ms Mia De Leon, NP
	960 S Westlake Blvd Ste 208, Westlake Village, CA 91361-3162
	(805) 379-5970
	(805) 379-5211

Map and Direction

Provider's Profile

Full Name	Ms Mia De Leon
Gender	Female
Speciality	Nurse Practitioner
Experience	28 Years
Location	960 S Westlake Blvd Ste 208, Westlake Village, 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:

Ms Mia De Leon graduated from nursing school in 1997

NPI Data:

NPI Number: 1700119195
Provider Enumeration Date: 09/16/2009
Last Update Date: 08/21/2024

Medicare PECOS Information:

PECOS PAC ID: 6901941673
Enrollment ID: I20100305000134

Medical Identifiers

Medical identifiers for Ms Mia De Leon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700119195	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	CA497626 (California)	Primary
207NS0135X	Dermatology - Procedural Dermatology	NP9810 (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 Mia De Leon allows following entities to bill medicare on her behalf.

Entity Name	Proderm Image A Professional Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811667264 PECOS PAC ID: 1355883042 Enrollment ID: O20240610002404

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 Mia De Leon 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 Mia De Leon, NP 960 S Westlake Blvd Ste 208, Westlake Village, CA 91361-3162 Ph: (805) 379-5970	Ms Mia De Leon, NP 960 S Westlake Blvd Ste 208, Westlake Village, CA 91361-3162 Ph: (805) 379-5970

Reviews and Comments

Nurse Practitioner Nurses in Westlake Village, CA

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Mrs. Rita Kachakian, RN, BSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32144 Agoura Rd Ste 100, Westlake Village, CA 91361 Phone: 805-557-7180 Fax: 805-557-7181
Daria M. Schneidman-fernandez, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32144 Agoura Rd, Suite 218, Westlake Village, CA 91361 Phone: 818-889-9230 Fax: 818-889-9231
Ethel Antonio, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31194 La Baya Dr, Westlake Village, CA 91362 Phone: 805-341-3416

Ms Mia De Leon, NP - Medicare Nurse Practitioner in Westlake Village, CA