Fazela Wasimi, NP - Medicare Clinical Nurse Specialist in San Diego, CA

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Fazela Wasimi, NP is a medicare enrolled "Clinical Nurse Specialist - Family Health" in San Diego, California. Her current practice location is 4692 Mission Blvd, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 647-5072.

Fazela Wasimi is licensed to practice in California (license number 22375) 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 1780024588.

Contact Information

Fazela Wasimi, NP
4692 Mission Blvd,
San Diego, CA 92109-2734
(619) 647-5072
(619) 330-4782

Map and Direction




Provider's Profile

Full NameFazela Wasimi
GenderFemale
SpecialityClinical Nurse Specialist - Family Health
Location4692 Mission Blvd, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780024588
  • Provider Enumeration Date: 06/26/2013
  • Last Update Date: 03/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9436390432
  • Enrollment ID: I20130801000734

Medical Identifiers

Medical identifiers for Fazela Wasimi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780024588NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 696952 (California)Secondary
364SF0001XClinical Nurse Specialist - Family Health 22375 (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. Fazela Wasimi allows following entities to bill medicare on her behalf.
Entity NameBorrego Community Health Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144165
PECOS PAC ID: 1759299944
Enrollment ID: O20040122000961
Entity NameCentro De Salud De La Comunidad De San Ysidro, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124782685
PECOS PAC ID: 6901709435
Enrollment ID: O20040130000711

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. Fazela Wasimi 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
Fazela Wasimi, NP
7946 Lake Adlon Dr,
San Diego, CA 92119-3117

Ph: (619) 303-0497		Fazela Wasimi, NP
4692 Mission Blvd,
San Diego, CA 92109-2734

Ph: (619) 647-5072

Reviews and Comments


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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).

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