Daisy Briseno, FNP in Lodi, CA - Medicare Nurse Practitioner

Daisy Briseno, FNP is a medicare enrolled "Registered Nurse" in Lodi, California. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Clinic Services Of California Medical Group Inc and her current practice location is 2415 W Vine St, Suite 106, Lodi, California. You can reach out to her office (for appointments etc.) via phone at (209) 333-3066.

Daisy Briseno is licensed to practice in California (license number 810710) 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 1891151023.

Contact Information

	Daisy Briseno, FNP
	2415 W Vine St, Suite 106, Lodi, CA 95242-3731
	(209) 333-3066
	(209) 333-3065

Map and Direction

Provider's Profile

Full Name	Daisy Briseno
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	2415 W Vine St, Lodi, 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:

Daisy Briseno graduated from nursing school in 2010

NPI Data:

NPI Number: 1891151023
Provider Enumeration Date: 01/04/2016
Last Update Date: 04/04/2017

Medicare PECOS Information:

PECOS PAC ID: 8527348978
Enrollment ID: I20161201001063

Medical Identifiers

Medical identifiers for Daisy Briseno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891151023	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	810710 (California)	Primary
363LF0000X	Nurse Practitioner - Family	95003972 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Lodi Memorial	Lodi, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clinic Services Of California Medical Group Inc	7810209715	43

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. Daisy Briseno allows following entities to bill medicare on her behalf.

Entity Name	Team Physicians Of California Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880

Entity Name	Lodi Memorial Hospital Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861649352 PECOS PAC ID: 7618880717 Enrollment ID: O20050517000577

Entity Name	Clinic Services Of California Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578958450 PECOS PAC ID: 7810209715 Enrollment ID: O20150707001394

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. Daisy Briseno 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
Daisy Briseno, FNP Po Box 241011, Lodi, CA 95241-9511 Ph: (209) 339-7435	Daisy Briseno, FNP 2415 W Vine St, Suite 106, Lodi, CA 95242-3731 Ph: (209) 333-3066

Reviews and Comments

Registered Nurse Nurses in Lodi, CA

Nathaniel Rabang Rafanan, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1912 Lakeshore Dr, Lodi, CA 95242 Phone: 209-612-6373
Tammy D Moijueh, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2401 W Turner Rd Ste 450, Lodi, CA 95242 Phone: 925-690-7031
Rafaqat Sultana Mian, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12744 N Jack Tone Rd, Lodi, CA 95240 Phone: 550-681-0418
Laurel Anne Synowicki, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-339-7873 Fax: 209-334-1908
Karen E Sorensen, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1046 Laurel Ave, Lodi, CA 95242 Phone: 209-369-3994
Janus Marie Stock, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1601 Lake St, Lodi, CA 95242 Phone: 209-333-2711
Shana M Gibbons, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1209 W Tokay St, Lodi, CA 95240 Phone: 209-331-2070

Daisy Briseno, FNP - Medicare Nurse Practitioner in Lodi, CA