Sean Luis, in Oakland, CA - Medicare Nurse Practitioner

Sean Luis, is a medicare enrolled "Nurse Practitioner - Adult Health" in Oakland, California. His current practice location is 400 30th St Ste 300, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 628-0949.

Sean Luis is licensed to practice in California (license number 95002322) 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 1417320433.

Contact Information

	Sean Luis,
	400 30th St Ste 300, Oakland, CA 94609-3318
	(510) 628-0949
	(510) 628-0947

Map and Direction

Provider's Profile

Full Name	Sean Luis
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	400 30th St Ste 300, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417320433
Provider Enumeration Date: 11/13/2015
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7719234434
Enrollment ID: I20180725003179

Medical Identifiers

Medical identifiers for Sean Luis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417320433	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	95002322 (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. Sean Luis allows following entities to bill medicare on his behalf.

Entity Name	Aids Healthcare Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467078063 PECOS PAC ID: 2668369109 Enrollment ID: O20040301000670

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. Sean Luis 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
Sean Luis, 218 9th St, San Francisco, CA 94103-3807 Ph: () -	Sean Luis, 400 30th St Ste 300, Oakland, CA 94609-3318 Ph: (510) 628-0949

Reviews and Comments

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Sean Luis, - Medicare Nurse Practitioner in Oakland, CA