Mrs Amandeep Kaur Dhaliwal, RN in Modesto, CA

Mrs Amandeep Kaur Dhaliwal, RN is a medicare enrolled "Nurse Practitioner - Family" in Modesto, California. Her current practice location is 1923 Coffee Rd # 12, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 409-8454.

Mrs Amandeep Kaur Dhaliwal is licensed to practice in California (license number NP95020820) 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 1881324374.

Contact Information

	Mrs Amandeep Kaur Dhaliwal, RN
	1923 Coffee Rd # 12, Modesto, CA 95355-2708
	(209) 409-8454
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amandeep Kaur Dhaliwal
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1923 Coffee Rd # 12, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881324374
Provider Enumeration Date: 06/16/2022
Last Update Date: 06/16/2022

Medicare PECOS Information:

PECOS PAC ID: 6709253214
Enrollment ID: I20230207000399

Medical Identifiers

Medical identifiers for Mrs Amandeep Kaur Dhaliwal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881324374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95020820 (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. Mrs Amandeep Kaur Dhaliwal allows following entities to bill medicare on her behalf.

Entity Name	Pinnacle Sjir
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437705456 PECOS PAC ID: 9638500374 Enrollment ID: O20200512003087

Entity Name	Lodi Advanced Medical Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285361188 PECOS PAC ID: 3072980580 Enrollment ID: O20221111001424

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. Mrs Amandeep Kaur Dhaliwal 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
Mrs Amandeep Kaur Dhaliwal, RN 3772 Vernazza Ct Manteca Ca 95337, Manteca, CA 95337 Ph: (510) 304-8612	Mrs Amandeep Kaur Dhaliwal, RN 1923 Coffee Rd # 12, Modesto, CA 95355-2708 Ph: (209) 409-8454

Reviews and Comments

Nurse Practitioner Nurses in Modesto, CA

Anissa Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069
Nameeta Heer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1316 Celeste Dr, Modesto, CA 95355 Phone: 209-571-1055
Mrs. Lois Elaine Lewis, RN NURSE PRACTITIONE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 W Granger Ave, Modesto, CA 95350 Phone: 209-579-9930 Fax: 209-579-9941
Ms. Margaret Baker, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1448 Florida Ave, Modesto, CA 95350 Phone: 209-523-1884 Fax: 209-523-2566
Ms. Fantine Warda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-526-4500 Fax: 209-572-7901
Shararah Aziz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069
Sarah Griffiths, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1801 Tully Rd Ste F, Modesto, CA 95350 Phone: 209-722-4842 Fax: 877-435-6573

Mrs Amandeep Kaur Dhaliwal, RN - Medicare Nurse Practitioner in Modesto, CA