Fanta Michelle Bayoh, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Venice, CA

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Fanta Michelle Bayoh, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Venice, California. Her current practice location is 905 Venice Blvd, Venice, California. You can reach out to her office (for appointments etc.) via phone at (310) 392-8636.

Fanta Michelle Bayoh is licensed to practice in California (license number 95011475) 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 1427555218.

Contact Information

Fanta Michelle Bayoh, MSN, APRN, FNP-C
905 Venice Blvd,
Venice, CA 90291-4904
(310) 392-8636
(310) 664-7998

Map and Direction




Provider's Profile

Full NameFanta Michelle Bayoh
GenderFemale
SpecialityNurse Practitioner - Family
Location905 Venice Blvd, Venice, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427555218
  • Provider Enumeration Date: 04/09/2018
  • Last Update Date: 06/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7113275892
  • Enrollment ID: I20191017001875

Medical Identifiers

Medical identifiers for Fanta Michelle Bayoh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427555218NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 727713 (New York)Secondary
163W00000XRegistered Nurse 95157790 (California)Secondary
363LF0000XNurse Practitioner - Family 343189 (New York)Secondary
363LF0000XNurse Practitioner - Family 95011475 (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. Fanta Michelle Bayoh allows following entities to bill medicare on her behalf.
Entity NameProvidence Facey Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710031588
PECOS PAC ID: 3173436276
Enrollment ID: O20031105000822
Entity NameVenice Family Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669418513
PECOS PAC ID: 2264339126
Enrollment ID: O20031217001082
Entity NameUsc Care Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902846306
PECOS PAC ID: 0446157747
Enrollment ID: O20050512000412

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. Fanta Michelle Bayoh 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 AddressPractice Location Address
Fanta Michelle Bayoh, MSN, APRN, FNP-C
905 Venice Blvd,
Venice, CA 90291-4904

Ph: (310) 392-8636		Fanta Michelle Bayoh, MSN, APRN, FNP-C
905 Venice Blvd,
Venice, CA 90291-4904

Ph: (310) 392-8636

Reviews and Comments


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Nancy Marie Pierre-paul, FNP-C
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.