Agatha J Covarrubias, NP is a
Nurse Practitioner physician based in Modesto, California. Agatha J Covarrubias is licensed to practice in California (license number 95002944) and her current practice location is 3105 Mchenry Ave Ste 101, Modesto, California. She can be reached at her office (for appointments etc.) via phone at
(209) 575-2700.
NPI number for Agatha J Covarrubias is 1417329640 and her current mailing address is 215 M St, Patterson, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417329640.
Physician's Profile
| Full Name | Agatha J Covarrubias |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 3105 Mchenry Ave Ste 101, Modesto, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417329640
- Provider Enumeration Date: 10/27/2015
- Last Update Date: 12/16/2021
Medical Identifiers
Medical identifiers for Agatha J Covarrubias such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417329640 | NPI | - | NPPES |
| 1093183261 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | A70897 (California) | Secondary |
| 207Q00000X | Family Medicine | 95069913 (California) | Secondary |
| 207R00000X | Internal Medicine | A76562 (California) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 60579117 (Washington) | Secondary |
| 363L00000X | Nurse Practitioner | 95002944 (California) | Primary |
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. Agatha J Covarrubias is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Agatha J Covarrubias, NP
215 M St,
Patterson, CA 95363-2121
Ph: (205) 586-1983 | Agatha J Covarrubias, NP
3105 Mchenry Ave Ste 101,
Modesto, CA 95350-1439
Ph: (209) 575-2700 |
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