Desiree Coniglio, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Auburn, California. She graduated from healthcare school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Chapa-de Indian Health Program, Inc. and her current practice location is
11670 Atwood Rd, Auburn, California. You can reach out to her office (for appointments etc.) via phone at
(530) 887-2800.
Desiree Coniglio is licensed to practice in California (license number 95008957) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366582025.
Healthcare Provider's Profile
| Full Name | Desiree Coniglio |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 11670 Atwood Rd, Auburn, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Desiree Coniglio graduated from medical school in 2011
NPI Data:
- NPI Number: 1366582025
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 03/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426216862
- Enrollment ID: I20190521001236
Medical Identifiers
Medical identifiers for Desiree Coniglio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366582025 | NPI | - | NPPES |
| 200739840A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 163W00000X | Registered Nurse | 14116330101 (Kansas) | Secondary |
| 163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | 733034 (California) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 143094 (Kansas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 143100 (Kansas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5375505101 (Kansas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95008957 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Chapa-de Indian Health Program, Inc. | 4981688520 | 32 |
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. Desiree Coniglio allows following entities to bill medicare on her behalf.
| Entity Name | Chapa-de Indian Health Program, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114057163
PECOS PAC ID: 4981688520
Enrollment ID: O20040614000473 |
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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. Desiree Coniglio 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 |
|---|
Desiree Coniglio, NP
11670 Atwood Rd,
Auburn, CA 95603-9522
Ph: (530) 887-2800 | Desiree Coniglio, NP
11670 Atwood Rd,
Auburn, CA 95603-9522
Ph: (530) 887-2800 |
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