Ms Niji Justin Solomon, FNP in Fullerton, CA - Medicare Nurse Practitioner

Ms Niji Justin Solomon, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fullerton, California. Her current practice location is 2450 N Harbor Blvd Apt 12, Fullerton, California. You can reach out to her office (for appointments etc.) via phone at (714) 588-6443.

Ms Niji Justin Solomon is licensed to practice in California (license number 95011506) 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 1912566456.

Contact Information

	Ms Niji Justin Solomon, FNP
	2450 N Harbor Blvd Apt 12, Fullerton, CA 92835-2617
	(714) 588-6443
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Niji Justin Solomon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2450 N Harbor Blvd Apt 12, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912566456
Provider Enumeration Date: 06/09/2019
Last Update Date: 06/09/2019

Medicare PECOS Information:

PECOS PAC ID: 0143656413
Enrollment ID: I20200204002690

Medical Identifiers

Medical identifiers for Ms Niji Justin Solomon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912566456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95011506 (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. Ms Niji Justin Solomon allows following entities to bill medicare on her behalf.

Entity Name	Comprehensive Cardiovascular Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578532123 PECOS PAC ID: 9830130822 Enrollment ID: O20091106000584

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 Niji Justin Solomon 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 Niji Justin Solomon, FNP 2450 N Harbor Blvd Apt 12, Fullerton, CA 92835-2617 Ph: (714) 588-6443	Ms Niji Justin Solomon, FNP 2450 N Harbor Blvd Apt 12, Fullerton, CA 92835-2617 Ph: (714) 588-6443

Reviews and Comments

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Ms Niji Justin Solomon, FNP - Medicare Nurse Practitioner in Fullerton, CA