Karen Tracy Collica, in San Diego, CA - Medicare Nurse Practitioner

Karen Tracy Collica, is a medicare enrolled "Nurse Practitioner" in San Diego, California. Her current practice location is 3853 Rosecrans St, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 692-8232.

Karen Tracy Collica is licensed to practice in California (license number 95007559) 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 1245673581.

Contact Information

	Karen Tracy Collica,
	3853 Rosecrans St, San Diego, CA 92110-3115
	(619) 692-8232
	(619) 542-4060

Map and Direction

Provider's Profile

Full Name	Karen Tracy Collica
Gender	Female
Speciality	Nurse Practitioner
Location	3853 Rosecrans St, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245673581
Provider Enumeration Date: 04/16/2013
Last Update Date: 11/13/2017

Medicare PECOS Information:

PECOS PAC ID: 0143563569
Enrollment ID: I20190528000746

Medical Identifiers

Medical identifiers for Karen Tracy Collica such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245673581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	822126 (California)	Secondary
363L00000X	Nurse Practitioner	95007559 (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. Karen Tracy Collica allows following entities to bill medicare on her behalf.

Entity Name	Union Of Pan Asian Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669686127 PECOS PAC ID: 3476690801 Enrollment ID: O20091016000356

Entity Name	Mellow Medical Inc A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222

Entity Name	Pouya Afshar Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710336094 PECOS PAC ID: 1557656337 Enrollment ID: O20160817002904

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. Karen Tracy Collica 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
Karen Tracy Collica, 3853 Rosecrans St, San Diego, CA 92110-3115 Ph: (619) 692-8232	Karen Tracy Collica, 3853 Rosecrans St, San Diego, CA 92110-3115 Ph: (619) 692-8232

Reviews and Comments

Nurse Practitioner Nurses in San Diego, CA

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Amy M Sorgent, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Karen Tracy Collica, - Medicare Nurse Practitioner in San Diego, CA