Mr Yonis A Mudey, NURSE PRACTITIONER in Berkeley, CA

Mr Yonis A Mudey, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Berkeley, California. He graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Portia Bell Hume Behavioral Health And Training Center, Altea Medical California Pc, Vista Psychiatric And Primary Care Services and his current practice location is 2288 Fulton St Ste 309, Berkeley, California. You can reach out to his office (for appointments etc.) via phone at (650) 577-2097.

Mr Yonis A Mudey is licensed to practice in California (license number 21343) 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 1790048767.

Contact Information

	Mr Yonis A Mudey, NURSE PRACTITIONER
	2288 Fulton St Ste 309, Berkeley, CA 94704-1490
	(650) 577-2097
	(650) 577-2098

Map and Direction

Provider's Profile

Full Name	Mr Yonis A Mudey
Gender	Male
Speciality	Nurse Practitioner
Experience	18 Years
Location	2288 Fulton St Ste 309, Berkeley, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Yonis A Mudey graduated from nursing school in 2008

NPI Data:

NPI Number: 1790048767
Provider Enumeration Date: 06/24/2012
Last Update Date: 04/12/2024

Medicare PECOS Information:

PECOS PAC ID: 8820234834
Enrollment ID: I20130418000010

Medical Identifiers

Medical identifiers for Mr Yonis A Mudey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790048767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	21343 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	21343 (California)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	21343 (California)	Secondary
364SC1501X	Clinical Nurse Specialist - Community Health/public Health	3467 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	21343 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sutter Delta Medical Center	Antioch, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Portia Bell Hume Behavioral Health And Training Center	0547251688	11
Altea Medical California Pc	1850740150	32
Vista Psychiatric And Primary Care Services	2668762352	2

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 Yonis A Mudey allows following entities to bill medicare on his behalf.

Entity Name	Portia Bell Hume Behavioral Health And Training Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760489439 PECOS PAC ID: 0547251688 Enrollment ID: O20040519000374

Entity Name	Vista Psychiatric And Primary Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023463189 PECOS PAC ID: 2668762352 Enrollment ID: O20160608002285

Entity Name	Altea Medical California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174302954 PECOS PAC ID: 1850740150 Enrollment ID: O20231212002787

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 Yonis A Mudey 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 Yonis A Mudey, NURSE PRACTITIONER 2288 Fulton St Ste 309, Berkeley, CA 94704-1490 Ph: (510) 517-3156	Mr Yonis A Mudey, NURSE PRACTITIONER 2288 Fulton St Ste 309, Berkeley, CA 94704-1490 Ph: (650) 577-2097

Reviews and Comments

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Mr Yonis A Mudey, NURSE PRACTITIONER - Medicare Nurse Practitioner in Berkeley, CA