Beth Fahnhorst, NP, RD is a medicare enrolled "Nurse Practitioner - Adult Health" provider in San Francisco, California. Her current practice location is
4150 Clement St, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(415) 551-7376.
Beth Fahnhorst is licensed to practice in California (license number 584739) 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 1366659252.
Healthcare Provider's Profile
| Full Name | Beth Fahnhorst |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 4150 Clement St, San Francisco, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366659252
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123204369
- Enrollment ID: I20110524000055
Medical Identifiers
Medical identifiers for Beth Fahnhorst such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366659252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 606678 (California) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 584739 (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. Beth Fahnhorst allows following entities to bill medicare on her behalf.
| Provider Name | Permanente Medical Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Beth Fahnhorst 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 |
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Beth Fahnhorst, NP, RD
74 Outlook Cir,
Pacifica, CA 94044-2145
Ph: (650) 355-9580 | Beth Fahnhorst, NP, RD
4150 Clement St,
San Francisco, CA 94121-1563
Ph: (415) 551-7376 |
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