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

Polina Pavlova, FNP-BC is a medicare enrolled "Nurse Practitioner" in Alpine, California. She graduated from nursing school in 2018 and has 6 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



Provider's Profile

Full NamePolina Pavlova
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1730 Alpine Blvd Ste 205, Alpine, California
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1386119881NPI-NPPES
822420OtherCACALIFORNIA BOARD OF REGISTERED NURSING
95009998OtherCACALIFORNIA BOARD OF REGISTERED NURSING NP LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 95009998 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hospital - ZionSan diego, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291757951

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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 NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

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Entity NameSomagen Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396058137
PECOS PAC ID: 1557530151
Enrollment ID: O20110817000276

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Entity NameSomagen Healthcare Ii Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316225147
PECOS PAC ID: 4981877735
Enrollment ID: O20111024000461

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Entity NameSomagen Healthcare Iii Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558788620
PECOS PAC ID: 8921225830
Enrollment ID: O20140815001327

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Entity NameLompoc Hospitalist Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891335717
PECOS PAC ID: 8426470832
Enrollment ID: O20200611002650

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› Verified 2 days ago

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 AddressPractice 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

News Archive

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UNICEF today launched #EarlyMomentsMatter, a new campaign supported by the LEGO Foundation to drive increased awareness about the importance of the first 1,000 days of a child's life and the impact of early experiences on the developing brain.

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Read more News

› Verified 2 days ago


Nurse Practitioner Nurses in Alpine, CA

Ms. Barbara Lee Lacuesta, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1730 Alpine Blvd, Alpine, CA 91901
Phone: 619-326-4445    
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
Mary Allison Redden, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1832 Alpine Blvd, Alpine, CA 91901
Phone: 619-326-4445    
Cari Nickson, A-GNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2142 Alpine Glen Pl, Alpine, CA 91901
Phone: 619-228-5817    
Teresa Michelle Hurley, NP
Nurse Practitioner
Medicare: Medicare Enrolled
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    

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