Polina Pavlova, FNP-BC in Alpine, CA - Medicare Nurse Practitioner

Polina Pavlova, FNP-BC is a medicare enrolled "Nurse Practitioner" in Alpine, California. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 1730 Alpine Blvd Ste 205, Alpine, California. You can reach out to her office (for appointments etc.) via phone at (619) 326-4445.

Polina Pavlova is licensed to practice in California (license number 95009998) 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 1386119881.

Contact Information

	Polina Pavlova, FNP-BC
	1730 Alpine Blvd Ste 205, Alpine, CA 91901-3878
	(619) 326-4445
	(619) 722-1721

Map and Direction

Provider's Profile

Full Name	Polina Pavlova
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1730 Alpine Blvd Ste 205, Alpine, 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:

Polina Pavlova graduated from nursing school in 2018

NPI Data:

NPI Number: 1386119881
Provider Enumeration Date: 10/10/2018
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 5799107504
Enrollment ID: I20200624002609

Medical Identifiers

Medical identifiers for Polina Pavlova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386119881	NPI	-	NPPES
822420	Other	CA	CALIFORNIA BOARD OF REGISTERED NURSING
95009998	Other	CA	CALIFORNIA BOARD OF REGISTERED NURSING NP LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95009998 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Zion	San diego, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	9038

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. Polina Pavlova allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Lompoc Hospitalist Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891335717 PECOS PAC ID: 8426470832 Enrollment ID: O20200611002650

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. Polina Pavlova 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
Polina Pavlova, FNP-BC 3555 Caminito El Rincon Unit 221, San Diego, CA 92130-3501 Ph: (619) 632-7915	Polina Pavlova, FNP-BC 1730 Alpine Blvd Ste 205, Alpine, CA 91901-3878 Ph: (619) 326-4445

Reviews and Comments

Nurse Practitioner Nurses in Alpine, CA

Ms. Barbara Lee Lacuesta, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1730 Alpine Blvd, Alpine, CA 91901 Phone: 619-326-4445
Brandon Rey Martinez, MSN, PMHNP-BC, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2120 Alpine Blvd, Alpine, CA 91901 Phone: 702-526-7610
Ms. Dianne Javier Malabanan, MSN, FNP-BC, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1730 Alpine Blvd Ste 205, Alpine, CA 91901 Phone: 619-326-4445 Fax: 619-722-1721
Cari Nickson, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2142 Alpine Glen Pl, Alpine, CA 91901 Phone: 619-228-5817
Teresa Michelle Hurley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1620 Alpine Boulevard, Alpine, CA 91901 Phone: 619-445-6200 Fax: 619-320-3347
Robin C. Robinson-gary, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188

Polina Pavlova, FNP-BC - Medicare Nurse Practitioner in Alpine, CA