Raymond Nubla, is a medicare enrolled "Rehabilitation Practitioner" provider in San Francisco, California. His current practice location is
98 Bosworth St, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at
(707) 980-5300.
Raymond Nubla is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477196632.
Healthcare Provider's Profile
| Full Name | Raymond Nubla |
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| Gender | Male |
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| Speciality | Rehabilitation Practitioner |
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| Location | 98 Bosworth St, San Francisco, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477196632
- Provider Enumeration Date: 10/21/2019
- Last Update Date: 08/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 5799209094
- Enrollment ID: I20250408002787
Medical Identifiers
Medical identifiers for Raymond Nubla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477196632 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | 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. Raymond Nubla allows following entities to bill medicare on his behalf.
| Entity Name | Sutter Valley Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335 |
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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. Raymond Nubla 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 |
|---|
Raymond Nubla,
98 Bosworth St,
San Francisco, CA 94112-1002
Ph: () - | Raymond Nubla,
98 Bosworth St,
San Francisco, CA 94112-1002
Ph: (707) 980-5300 |
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