Buchi Stella Imoohi, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Alta Loma, California. Her current practice location is
6367 Puma Pl, Alta Loma, California. You can reach out to her office (for appointments etc.) via phone at
(909) 231-9242.
Buchi Stella Imoohi is licensed to practice in California (license number NP17172) 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 1811137938.
Provider's Profile
| Full Name | Buchi Stella Imoohi |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 6367 Puma Pl, Alta Loma, 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: 1811137938
- Provider Enumeration Date: 03/02/2009
- Last Update Date: 07/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 8123299567
- Enrollment ID: I20110930000052
Medical Identifiers
Medical identifiers for Buchi Stella Imoohi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811137938 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP17172 (California) | 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. Buchi Stella Imoohi allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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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. Buchi Stella Imoohi 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 |
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Buchi Stella Imoohi, FNP
6367 Puma Pl,
Alta Loma, CA 91737-6513
Ph: (909) 231-9242 | Buchi Stella Imoohi, FNP
6367 Puma Pl,
Alta Loma, CA 91737-6513
Ph: (909) 231-9242 |
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