Edelweiss Von Maack, NP-C - Medicare Nurse Practitioner in Loma Linda, CA

Edelweiss Von Maack, NP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Loma Linda, California. Her current practice location is 24785 Stewart St Ste 111, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-4594.

Edelweiss Von Maack is licensed to practice in Washington (license number AP60451797) 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 1093128860.

Contact Information

Edelweiss Von Maack, NP-C
24785 Stewart St Ste 111,
Loma Linda, CA 92350-1721
(909) 558-4594
(909) 558-0433



Provider's Profile

Full NameEdelweiss Von Maack
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location24785 Stewart St Ste 111, Loma Linda, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093128860
  • Provider Enumeration Date: 06/09/2014
  • Last Update Date: 04/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1850515354
  • Enrollment ID: I20140623002115

Medical Identifiers

Medical identifiers for Edelweiss Von Maack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093128860NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology AP60451797 (Washington)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. Edelweiss Von Maack allows following entities to bill medicare on her behalf.
Entity NameNorthwest Spine And Pain Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669789228
PECOS PAC ID: 5799972212
Enrollment ID: O20101209001132

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Entity NameMid-south Home Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669975280
PECOS PAC ID: 4385961093
Enrollment ID: O20180522003095

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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. Edelweiss Von Maack 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 AddressPractice Location Address
Edelweiss Von Maack, NP-C
24785 Stewart St., Suite 101,
Loma Linda, CA 92354

Ph: (909) 558-4594
Edelweiss Von Maack, NP-C
24785 Stewart St Ste 111,
Loma Linda, CA 92350-1721

Ph: (909) 558-4594

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Nurse Practitioner Nurses in Loma Linda, CA

Holly Cornejo, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11201 Benton St, Loma Linda, CA 92357
Phone: 909-825-7084    
Mrs. Kenya Neoko Singleton, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11201 Benton Street, Loma Linda, CA 92357
Phone: 909-825-7084    Fax: 909-777-3874
Miss Christine Eunice Kurunathan, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11034 Veach St, Loma Linda, CA 92354
Phone: 909-825-7084    Fax: 909-777-3291
Krista Smith,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11201 Benton St, Loma Linda, CA 92357
Phone: 909-825-7084    
Cecille Bernad Ubbaonu, MSN, RN, AG-ACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11285 Mountain View Ave, 40, Loma Linda, CA 92354
Phone: 909-558-5844    Fax: 909-558-7873
Kristina Pulliam Markey, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11234 Anderson Strreet, Loma Linda, CA 92354
Phone: 909-558-5967    
Lauren Trajano,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11234 Anderson St, Loma Linda, CA 92354
Phone: 909-558-8000    

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