Keri Cavallo, FNP-C in Costa Mesa, CA - Medicare Nurse Practitioner

Keri Cavallo, FNP-C is a medicare enrolled "Nurse Practitioner" in Costa Mesa, California. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dispatchhealth-ca, Pc, Dispatchhealth Washington Pc, Dispatchhealth-texas P A, Dispatchhealth Nv Wagner Pc and her current practice location is 2200 Harbor Blvd Ste B220, Costa Mesa, California. You can reach out to her office (for appointments etc.) via phone at (949) 548-2273.

Keri Cavallo is licensed to practice in California (license number 95006968) 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 1265951727.

Contact Information

	Keri Cavallo, FNP-C
	2200 Harbor Blvd Ste B220, Costa Mesa, CA 92627-5897
	(949) 548-2273
	Not Available

Map and Direction

Provider's Profile

Full Name	Keri Cavallo
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	2200 Harbor Blvd Ste B220, Costa Mesa, 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:

Keri Cavallo graduated from nursing school in 2017

NPI Data:

NPI Number: 1265951727
Provider Enumeration Date: 09/15/2017
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 6709277122
Enrollment ID: I20211220000838

Medical Identifiers

Medical identifiers for Keri Cavallo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265951727	NPI	-	NPPES
95006968	Other	CA	BRN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95006968 (California)	Secondary
363L00000X	Nurse Practitioner	95006968 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tacoma General Allenmore Hospital	Tacoma, WA	Hospital
Deaconess Medical Center	Spokane, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dispatchhealth-ca, Pc	4789086455	28
Dispatchhealth Washington Pc	2062765423	64
Dispatchhealth-texas P A	5395006035	91
Dispatchhealth Nv Wagner Pc	5193090298	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. Keri Cavallo allows following entities to bill medicare on her behalf.

Entity Name	Dispatchhealth-ca, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639752553 PECOS PAC ID: 4789086455 Enrollment ID: O20210719000230

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. Keri Cavallo 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
Keri Cavallo, FNP-C 423 Fair Dr, Costa Mesa, CA 92626-6232 Ph: () -	Keri Cavallo, FNP-C 2200 Harbor Blvd Ste B220, Costa Mesa, CA 92627-5897 Ph: (949) 548-2273

Reviews and Comments

Nurse Practitioner Nurses in Costa Mesa, CA

Alexandra Hutchison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1530 Baker St Ste A, Costa Mesa, CA 92626 Phone: 714-559-5436
Judith Rivera, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Anton Blvd Fl 11, Costa Mesa, CA 92626 Phone: 623-374-7774 Fax: 855-420-6361
Madison Lucas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Paularino Ave Ste D182, Costa Mesa, CA 92626 Phone: 866-300-7227
Yvette Alfelor Elpidio, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3151 Airway Ave, T-3, Costa Mesa, CA 92626 Phone: 714-545-5550 Fax: 714-545-5748
Mrs. Suzanne Clara Larkin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1665 Scenic Ave, Costa Mesa, CA 92626 Phone: 714-436-4444
Rachel Renee Cliser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 188 E 17th St Ste 101, Costa Mesa, CA 92627 Phone: 949-515-4548
Courtney Proctor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 W 19th St, Costa Mesa, CA 92627 Phone: 714-922-4100

Keri Cavallo, FNP-C - Medicare Nurse Practitioner in Costa Mesa, CA