Edvina Samkeliso Fuyana, is a medicare enrolled "Nurse Practitioner - Family" physician in Irvine, California. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Altea Medical California Pc and her current practice location is
17981 Sky Park Cir Bldg 39, Irvine, California. You can reach out to her office (for appointments etc.) via phone at
(877) 896-7350.
Edvina Samkeliso Fuyana is licensed to practice in Georgia (license number 213866) 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 1972187482.
Physician's Profile
| Full Name | Edvina Samkeliso Fuyana |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 17981 Sky Park Cir Bldg 39, Irvine, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Edvina Samkeliso Fuyana graduated from medical school in 2019
NPI Data:
- NPI Number: 1972187482
- Provider Enumeration Date: 05/11/2021
- Last Update Date: 01/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426563594
- Enrollment ID: I20250716003571
Medical Identifiers
Medical identifiers for Edvina Samkeliso Fuyana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972187482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | 95017106 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 213866 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Altea Medical California Pc | 1850740150 | 32 |
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. Edvina Samkeliso Fuyana 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 |
|---|
Edvina Samkeliso Fuyana,
17981 Sky Park Cir Bldg 39,
Irvine, CA 92614-6309
Ph: (877) 896-7350 | Edvina Samkeliso Fuyana,
17981 Sky Park Cir Bldg 39,
Irvine, CA 92614-6309
Ph: (877) 896-7350 |
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