Agatha J Covarrubias, NP is a medicare enrolled "Nurse Practitioner" physician in Modesto, California. Her current practice location is
3105 Mchenry Ave Ste 101, Modesto, California. You can reach out to her office (for appointments etc.) via phone at
(209) 575-2700.
Agatha J Covarrubias is licensed to practice in California (license number 95002944) 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 1417329640.
Physician's Profile
Full Name | Agatha J Covarrubias |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 3105 Mchenry Ave Ste 101, Modesto, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417329640
- Provider Enumeration Date: 10/27/2015
- Last Update Date: 12/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 7810390150
- Enrollment ID: I20210726000561
Medical Identifiers
Medical identifiers for Agatha J Covarrubias such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417329640 | NPI | - | NPPES |
1093183261 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | A70897 (California) | Secondary |
207Q00000X | Family Medicine | 95069913 (California) | Secondary |
207R00000X | Internal Medicine | A76562 (California) | Secondary |
364SA2200X | Clinical Nurse Specialist - Adult Health | 60579117 (Washington) | Secondary |
363L00000X | Nurse Practitioner | 95002944 (California) | Primary |
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. Agatha J Covarrubias 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 |
Agatha J Covarrubias, NP 215 M St, Patterson, CA 95363-2121 Ph: (205) 586-1983 | Agatha J Covarrubias, NP 3105 Mchenry Ave Ste 101, Modesto, CA 95350-1439 Ph: (209) 575-2700 |
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