Fatema Balooch, FNP-C in Fremont, CA - Medicare Nurse Practitioner

Fatema Balooch, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fremont, California. Her current practice location is 3200 Kearney St, Fremont, California. You can reach out to her office (for appointments etc.) via phone at (510) 490-1222.

Fatema Balooch is licensed to practice in California (license number 95011308) 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 1033705744.

Contact Information

	Fatema Balooch, FNP-C
	3200 Kearney St, Fremont, CA 94538-2299
	(510) 490-1222
	Not Available

Map and Direction

Provider's Profile

Full Name	Fatema Balooch
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3200 Kearney St, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033705744
Provider Enumeration Date: 12/16/2020
Last Update Date: 07/13/2022

Medicare PECOS Information:

PECOS PAC ID: 7911388012
Enrollment ID: I20220720004056

Medical Identifiers

Medical identifiers for Fatema Balooch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033705744	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95011308 (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. Fatema Balooch allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Fatema Balooch 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
Fatema Balooch, FNP-C 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (510) 490-1222	Fatema Balooch, FNP-C 3200 Kearney St, Fremont, CA 94538-2299 Ph: (510) 490-1222

Reviews and Comments

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Fatema Balooch, FNP-C - Medicare Nurse Practitioner in Fremont, CA