Abegaille Avecilla Midoro, FNP-C in San Diego, CA

Abegaille Avecilla Midoro, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. Her current practice location is 6991 Balboa Ave Rm 70, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 496-8232.

Abegaille Avecilla Midoro is licensed to practice in California (license number 95013911) 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 1952925851.

Contact Information

	Abegaille Avecilla Midoro, FNP-C
	6991 Balboa Ave Rm 70, San Diego, CA 92111-3447
	(858) 496-8232
	(858) 496-8234

Map and Direction

Provider's Profile

Full Name	Abegaille Avecilla Midoro
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6991 Balboa Ave Rm 70, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952925851
Provider Enumeration Date: 06/05/2020
Last Update Date: 06/17/2020

Medicare PECOS Information:

PECOS PAC ID: 5991115180
Enrollment ID: I20201102000376

Medical Identifiers

Medical identifiers for Abegaille Avecilla Midoro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952925851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95013911 (California)	Primary
363LP2300X	Nurse Practitioner - Primary Care	95013911 (California)	Secondary

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. Abegaille Avecilla Midoro allows following entities to bill medicare on her behalf.

Entity Name	Operation Samahan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275617169 PECOS PAC ID: 7911932645 Enrollment ID: O20051001000054

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. Abegaille Avecilla Midoro 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
Abegaille Avecilla Midoro, FNP-C 6991 Balboa Ave Rm 70, San Diego, CA 92111-3447 Ph: (858) 496-8232	Abegaille Avecilla Midoro, FNP-C 6991 Balboa Ave Rm 70, San Diego, CA 92111-3447 Ph: (858) 496-8232

Reviews and Comments

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Abegaille Avecilla Midoro, FNP-C - Medicare Nurse Practitioner in San Diego, CA