Tarasa K Quintanilla, FNP-BC in Laguna Niguel, CA

Tarasa K Quintanilla, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Laguna Niguel, California. Her current practice location is 32341 Golden Lantern Ste C, Laguna Niguel, California. You can reach out to her office (for appointments etc.) via phone at (949) 363-9595.

Tarasa K Quintanilla is licensed to practice in California (license number 95023006) 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 1275259814.

Contact Information

	Tarasa K Quintanilla, FNP-BC
	32341 Golden Lantern Ste C, Laguna Niguel, CA 92677-5343
	(949) 363-9595
	Not Available

Map and Direction

Provider's Profile

Full Name	Tarasa K Quintanilla
Gender	Female
Speciality	Nurse Practitioner - Family
Location	32341 Golden Lantern Ste C, Laguna Niguel, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275259814
Provider Enumeration Date: 10/17/2022
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 9739545401
Enrollment ID: I20230523000586

Medical Identifiers

Medical identifiers for Tarasa K Quintanilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275259814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95023006 (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. Tarasa K Quintanilla allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Tarasa K Quintanilla 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
Tarasa K Quintanilla, FNP-BC 32341 Golden Lantern Ste C, Laguna Niguel, CA 92677-5343 Ph: (949) 363-9595	Tarasa K Quintanilla, FNP-BC 32341 Golden Lantern Ste C, Laguna Niguel, CA 92677-5343 Ph: (949) 363-9595

Reviews and Comments

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Tarasa K Quintanilla, FNP-BC - Medicare Nurse Practitioner in Laguna Niguel, CA