Mr Rafael Chavira Moreno, FNP in Dublin, CA - Medicare Nurse Practitioner

Mr Rafael Chavira Moreno, FNP is a medicare enrolled "Nurse Practitioner - Family" in Dublin, California. His current practice location is 3918 Fallon Rd, Dublin, California. You can reach out to his office (for appointments etc.) via phone at (800) 942-5547.

Mr Rafael Chavira Moreno is licensed to practice in California (license number 95010749) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811451107.

Contact Information

	Mr Rafael Chavira Moreno, FNP
	3918 Fallon Rd, Dublin, CA 94568
	(800) 942-5547
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Rafael Chavira Moreno
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3918 Fallon Rd, Dublin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811451107
Provider Enumeration Date: 01/30/2019
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 5799013884
Enrollment ID: I20190828000717

Medical Identifiers

Medical identifiers for Mr Rafael Chavira Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811451107	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95010749 (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. Mr Rafael Chavira Moreno allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mr Rafael Chavira Moreno 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
Mr Rafael Chavira Moreno, FNP 325 Distel Cir, Los Altos, CA 94022-1408 Ph: () -	Mr Rafael Chavira Moreno, FNP 3918 Fallon Rd, Dublin, CA 94568 Ph: (800) 942-5547

Reviews and Comments

Nurse Practitioner Nurses in Dublin, CA

Mrs. Rupinderjit Kaur, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4120 Dublin Blvd, Dublin, CA 94568 Phone: 925-737-0203
Hannah Isabel Ruben, MSN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100
Selena Mabel Stewart, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7688 Saint Patrick Way Unit 1055, Dublin, CA 94568 Phone: 214-470-8506
Shailendra Acharya, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5010 Haven Pl Apt 112, Dublin, CA 94568 Phone: 925-336-9739
Suzette Han, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6546
Dorothy Wan, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100
Brittany Janee Taylor, DNP, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7050 Dublin Blvd, Dublin, CA 94568 Phone: 925-999-8806

Mr Rafael Chavira Moreno, FNP - Medicare Nurse Practitioner in Dublin, CA