Vira Fomenko, MD in San Jose, CA - Medicare Family Practice

Vira Fomenko, MD is a medicare enrolled "Family Medicine" physician in San Jose, California. She went to Un Of California, Irvine, College Of Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 2400 Moorpark Ave Ste 300, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 975-2730.

Vira Fomenko is licensed to practice in California (license number A164062) 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 1023512456.

Contact Information

	Vira Fomenko, MD
	2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680
	(408) 975-2730
	(408) 975-2764

Map and Direction

Physician's Profile

Full Name	Vira Fomenko
Gender	Female
Speciality	Family Practice
Experience	7 Years
Location	2400 Moorpark Ave Ste 300, San Jose, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Vira Fomenko attended and graduated from Un Of California, Irvine, College Of Medicine in 2018

NPI Data:

NPI Number: 1023512456
Provider Enumeration Date: 03/20/2018
Last Update Date: 11/21/2025

Medicare PECOS Information:

PECOS PAC ID: 1254749773
Enrollment ID: I20210920002661

Medical Identifiers

Medical identifiers for Vira Fomenko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023512456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A164062 (California)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8867

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. Vira Fomenko allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Asian Americans For Community Involvement Of Santa Clara County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750490363 PECOS PAC ID: 7719880533 Enrollment ID: O20040129000646

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. Vira Fomenko 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
Vira Fomenko, MD 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 Ph: (408) 975-2730	Vira Fomenko, MD 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 Ph: (408) 975-2730

Reviews and Comments

Family Medicine Doctors in San Jose, CA

Melissa Ann De Leon, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Oak St Rm F-3, San Jose, CA 95110 Phone: 408-295-0950
Manjula Kamaraju, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2460 Samaritan Dr, San Jose, CA 95124 Phone: 408-358-1911 Fax: 408-358-3430
Dr. Edward Man-yau Cheng, M.D. PHD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1060 Saratoga Ave, San Jose, CA 95129 Phone: 408-243-6911 Fax: 408-243-6941
Dr. Daniel J Reyes-villa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 841 Blossom Hill Rd Ste 215, San Jose, CA 95123 Phone: 408-629-7095 Fax: 408-818-2352
Shamsher Singh, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000
Jenny Chen, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 275 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-7559
Dr. Tung Thanh Nguyen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 621 Tully Rd, Suite 105, San Jose, CA 95111 Phone: 408-279-2988 Fax: 408-279-2981

Vira Fomenko, MD - Medicare Family Practice in San Jose, CA