Marcel Fomotar, CRNP-PMH - Medicare Nurse Practitioner in Clovis, CA

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Marcel Fomotar, CRNP-PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clovis, California. He went to University Of South Alabama College Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 1085 Sanders Ave, Clovis, California. You can reach out to his office (for appointments etc.) via phone at (408) 449-6623.

Marcel Fomotar is licensed to practice in California (license number 95014417) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447765409.

Contact Information

Marcel Fomotar, CRNP-PMH
1085 Sanders Ave,
Clovis, CA 93619-3935
(408) 449-6623
Not Available

Map and Direction




Provider's Profile

Full NameMarcel Fomotar
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location1085 Sanders Ave, Clovis, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marcel Fomotar attended and graduated from University Of South Alabama College Of Medicine in 2022
  NPI Data:
  • NPI Number: 1447765409
  • Provider Enumeration Date: 12/12/2017
  • Last Update Date: 09/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8224413729
  • Enrollment ID: I20221007001353

Medical Identifiers

Medical identifiers for Marcel Fomotar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447765409NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 95043929 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R244114 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95014417 (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. Marcel Fomotar allows following entities to bill medicare on his behalf.
Entity NameBody And Mind Healthcare Services - A Nursing Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700568078
PECOS PAC ID: 5991241978
Enrollment ID: O20240725004803

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. Marcel Fomotar 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
Marcel Fomotar, CRNP-PMH
1085 Sanders Ave,
Clovis, CA 93619-3935

Ph: (408) 449-6623		Marcel Fomotar, CRNP-PMH
1085 Sanders Ave,
Clovis, CA 93619-3935

Ph: (408) 449-6623

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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