Annie Rose Condolon-kohler, NP - Medicare Nurse Practitioner in Fairfield, CA

Annie Rose Condolon-kohler, NP is a medicare enrolled "Nurse Practitioner - Family" in Fairfield, California. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northbay Healthcare Group and her current practice location is 4520 Business Center Dr, Fairfield, California. You can reach out to her office (for appointments etc.) via phone at (707) 646-5500.

Annie Rose Condolon-kohler is licensed to practice in California (license number 95011293) 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 1174086359.

Contact Information

Annie Rose Condolon-kohler, NP
4520 Business Center Dr,
Fairfield, CA 94534-6888
(707) 646-5500
Not Available

Map and Direction




Provider's Profile

Full NameAnnie Rose Condolon-kohler
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location4520 Business Center Dr, Fairfield, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Annie Rose Condolon-kohler graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1174086359
  • Provider Enumeration Date: 04/13/2019
  • Last Update Date: 04/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4981934536
  • Enrollment ID: I20190924001953

Medical Identifiers

Medical identifiers for Annie Rose Condolon-kohler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174086359NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95011293 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northbay Medical CenterFairfield, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northbay Healthcare Group0042122244244

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. Annie Rose Condolon-kohler allows following entities to bill medicare on her behalf.
Entity NameNorthbay Healthcare Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821147786
PECOS PAC ID: 0042122244
Enrollment ID: O20031105000409

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. Annie Rose Condolon-kohler 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 AddressPractice Location Address
Annie Rose Condolon-kohler, NP
1724 Ashtree Ct,
Fairfield, CA 94534-3964

Ph: (484) 866-0654
Annie Rose Condolon-kohler, NP
4520 Business Center Dr,
Fairfield, CA 94534-6888

Ph: (707) 646-5500

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.