Ivory Adanza, - Medicare Nurse Practitioner in Stockton, CA

Ivory Adanza, is a medicare enrolled "Nurse Practitioner - Occupational Health" in Stockton, California. Her current practice location is 1801 E March Ln Ste D480, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 954-3200.

Ivory Adanza is licensed to practice in California (license number 95001966) 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 1053702159.

Contact Information

Ivory Adanza,
1801 E March Ln Ste D480,
Stockton, CA 95210-6681
(209) 954-3200
Not Available



Provider's Profile

Full NameIvory Adanza
GenderFemale
SpecialityNurse Practitioner - Occupational Health
Location1801 E March Ln Ste D480, Stockton, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053702159
  • Provider Enumeration Date: 02/10/2015
  • Last Update Date: 02/10/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4880047430
  • Enrollment ID: I20240130002992

Medical Identifiers

Medical identifiers for Ivory Adanza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053702159NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LX0106XNurse Practitioner - Occupational Health 95001966 (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. Ivory Adanza allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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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. Ivory Adanza 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
Ivory Adanza,
1801 E March Ln Ste D480,
Stockton, CA 95210-6681

Ph: (209) 954-3200
Ivory Adanza,
1801 E March Ln Ste D480,
Stockton, CA 95210-6681

Ph: (209) 954-3200

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Nurse Practitioner Nurses in Stockton, CA

Yuko Motooka-halseth, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1801 E March Ln Ste D470, Stockton, CA 95210
Phone: 209-507-7027    Fax: 209-762-6808
Harmanpreet Kaur, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 415 E Harding Way, Stockton, CA 95204
Phone: 209-944-5750    
Rex Ambatali Jr., FNP-C, CVNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2633 Pacific Ave, Stockton, CA 95204
Phone: 209-944-5530    
Mrs. Deborah Kay Hastie,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207
Phone: 209-952-5555    Fax: 209-952-1907
Mrs. Ketty Ukpong Uweh, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 644 E Harding Way Ste B, Stockton, CA 95204
Phone: 209-244-9191    Fax: 209-244-9190
Dr. Joan S Rubinger, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2488 N California St, C/o R Winter Md, Stockton, CA 95204
Phone: 209-518-5051    
Lisa Hansen, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 89 W March Ln, Suite #1, Stockton, CA 95207
Phone: 209-478-2622    Fax: 209-870-2754

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