Lesley Michele Fung, FNP is a medicare enrolled "Military Health Care Provider" in Camp Pendleton, California. Her current practice location is
200 Mercy Cir, Camp Pendleton, California. You can reach out to her office (for appointments etc.) via phone at
(760) 719-4035.
Lesley Michele Fung is licensed to practice in California (license number NP95017360) 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 1518581917.
Provider's Profile
| Full Name | Lesley Michele Fung |
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| Gender | Female |
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| Speciality | Military Health Care Provider |
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| Location | 200 Mercy Cir, Camp Pendleton, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518581917
- Provider Enumeration Date: 06/01/2020
- Last Update Date: 08/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 3274939475
- Enrollment ID: I20210914002561
Medical Identifiers
Medical identifiers for Lesley Michele Fung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518581917 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 787140 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NP95017360 (California) | Secondary |
| 171000000X | Military Health Care Provider | NP95017360 (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. Lesley Michele Fung allows following entities to bill medicare on her behalf.
| Entity Name | California Care Wellness Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447874516 PECOS PAC ID: 2264856236 Enrollment ID: O20200723000732 |
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| Entity Name | Myndfull Care Management California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770206435 PECOS PAC ID: 4981070893 Enrollment ID: O20221018002310 |
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| Entity Name | Geri Connection |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447976907 PECOS PAC ID: 0446629059 Enrollment ID: O20221202001861 |
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| Entity Name | Nurse Practitioner Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780121277 PECOS PAC ID: 6002230778 Enrollment ID: O20230310001078 |
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| Entity Name | Eon Care Clinicians Of Ca Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831919760 PECOS PAC ID: 9739609199 Enrollment ID: O20250228001006 |
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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. Lesley Michele Fung 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 |
Lesley Michele Fung, FNP 200 Mercy Circle, Camp Camp Pendleton, CA 92055 Ph: (760) 715-4035 | Lesley Michele Fung, FNP 200 Mercy Cir, Camp Pendleton, CA 92055 Ph: (760) 719-4035 |
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