Anjenette Moranda Sorapuru, NP in Greenbrae, CA

Anjenette Moranda Sorapuru, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Greenbrae, California. Her current practice location is 1100 S Eliseo Dr Ste 1, Greenbrae, California. You can reach out to her office (for appointments etc.) via phone at (415) 514-6868.

Anjenette Moranda Sorapuru is licensed to practice in California (license number 95023811) 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 1508294810.

Contact Information

	Anjenette Moranda Sorapuru, NP
	1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904-2017
	(415) 514-6868
	Not Available

Map and Direction

Provider's Profile

Full Name	Anjenette Moranda Sorapuru
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1100 S Eliseo Dr Ste 1, Greenbrae, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508294810
Provider Enumeration Date: 10/23/2013
Last Update Date: 04/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6305167800
Enrollment ID: I20150609002811

Medical Identifiers

Medical identifiers for Anjenette Moranda Sorapuru such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508294810	NPI	-	NPPES
1508294810	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN218352 (Georgia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	AP07266 (Louisiana)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	95023811 (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. Anjenette Moranda Sorapuru allows following entities to bill medicare on her behalf.

Entity Name	Theramed Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487056586 PECOS PAC ID: 0345564472 Enrollment ID: O20150121001157

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200115001292

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. Anjenette Moranda Sorapuru 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
Anjenette Moranda Sorapuru, NP 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904-2017 Ph: (415) 514-6868	Anjenette Moranda Sorapuru, NP 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904-2017 Ph: (415) 514-6868

Reviews and Comments

Nurse Practitioner Nurses in Greenbrae, CA

Ms. Deborah Anne Weber, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 S Eliseo Dr Ste 202, Greenbrae, CA 94904 Phone: 415-461-3500
Mary Rebecca Conroy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1350 South Eliseo Drive, Suite 140, Greenbrae, CA 94904 Phone: 415-925-7450 Fax: 415-925-7652
Mr. Jesse Woisard Wennik, NP, CNS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Bon Air Rd, Greenbrae, CA 94904 Phone: 415-499-6835 Fax: 415-507-4113
Cheryl Lynn Randolph, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Bon Air Rd, Greenbrae, CA 94904 Phone: 415-448-1500 Fax: 415-461-4229
Marisa Woods, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 Bon Air Ctr, Suite 200, Greenbrae, CA 94904 Phone: 415-578-3095 Fax: 415-291-0489
Mrs. Jeannot Lee Carlson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 599 Sir Francis Drake Blvd Ste 202, Suite 117, Greenbrae, CA 94904 Phone: 415-461-1149 Fax: 415-925-1156
Amy Blevins, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 S Eliseo Dr Ste 101, Greenbrae, CA 94904 Phone: 415-497-5420

Anjenette Moranda Sorapuru, NP - Medicare Nurse Practitioner in Greenbrae, CA