Paytyn Laker, CNM, WHNP-BC is a medicare enrolled "Advanced Practice Midwife" in Pacoima, California. Her current practice location is
13721 Pierce St, Pacoima, California. You can reach out to her office (for appointments etc.) via phone at
(951) 265-1639.
Paytyn Laker is licensed to practice in California (license number 236490) 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 1790500742.
Provider's Profile
| Full Name | Paytyn Laker |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 13721 Pierce St, Pacoima, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790500742
- Provider Enumeration Date: 11/15/2024
- Last Update Date: 11/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486168143
- Enrollment ID: I20250707002165
Medical Identifiers
Medical identifiers for Paytyn Laker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790500742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 95032386 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 236490 (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. Paytyn Laker allows following entities to bill medicare on her behalf.
| Entity Name | Desert Valley Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639117864
PECOS PAC ID: 4880595875
Enrollment ID: O20040113000803 |
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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. Paytyn Laker 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 |
|---|
Paytyn Laker, CNM, WHNP-BC
13721 Pierce St,
Pacoima, CA 91331-3742
Ph: Not Available | Paytyn Laker, CNM, WHNP-BC
13721 Pierce St,
Pacoima, CA 91331-3742
Ph: (951) 265-1639 |
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