Bariasa Caroline Kanabolo, PMHNP in Riverside, CA

Bariasa Caroline Kanabolo, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Riverside, California. Her current practice location is 9890 County Farm Rd Bldg 2, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 509-2499.

Bariasa Caroline Kanabolo is licensed to practice in California (license number 95006727) 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 1578093050.

Contact Information

	Bariasa Caroline Kanabolo, PMHNP
	9890 County Farm Rd Bldg 2, Riverside, CA 92503-3505
	(951) 509-2499
	Not Available

Map and Direction

Provider's Profile

Full Name	Bariasa Caroline Kanabolo
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9890 County Farm Rd Bldg 2, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578093050
Provider Enumeration Date: 06/15/2017
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 0941601751
Enrollment ID: I20210630004044

Medical Identifiers

Medical identifiers for Bariasa Caroline Kanabolo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578093050	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95006727 (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. Bariasa Caroline Kanabolo allows following entities to bill medicare on her behalf.

Entity Name	David Desai Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174901128 PECOS PAC ID: 6204148794 Enrollment ID: O20150713001240

Entity Name	Ehab Yacoub Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071

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. Bariasa Caroline Kanabolo 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
Bariasa Caroline Kanabolo, PMHNP 8498 Daisy Ln, Riverside, CA 92508-7103 Ph: () -	Bariasa Caroline Kanabolo, PMHNP 9890 County Farm Rd Bldg 2, Riverside, CA 92503-3505 Ph: (951) 509-2499

Reviews and Comments

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Bariasa Caroline Kanabolo, PMHNP - Medicare Nurse Practitioner in Riverside, CA