Bharathi Rasagolla, FNP in Irvine, CA - Medicare Nurse Practitioner

Bharathi Rasagolla, FNP is a medicare enrolled "Nurse Practitioner - Family" in Irvine, California. Her current practice location is 4902 Irvine Center Dr Ste 105, Irvine, California. You can reach out to her office (for appointments etc.) via phone at (949) 651-9671.

Bharathi Rasagolla is licensed to practice in California (license number NP95016061) 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 1649855727.

Contact Information

	Bharathi Rasagolla, FNP
	4902 Irvine Center Dr Ste 105, Irvine, CA 92604-3334
	(949) 651-9671
	Not Available

Map and Direction

Provider's Profile

Full Name	Bharathi Rasagolla
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4902 Irvine Center Dr Ste 105, Irvine, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649855727
Provider Enumeration Date: 03/10/2021
Last Update Date: 04/20/2021

Medicare PECOS Information:

PECOS PAC ID: 9032568878
Enrollment ID: I20231205004000

Medical Identifiers

Medical identifiers for Bharathi Rasagolla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649855727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95016061 (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. Bharathi Rasagolla allows following entities to bill medicare on her behalf.

Entity Name	Mark H Mazur Md & Barry Statner Md A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376631341 PECOS PAC ID: 1254373806 Enrollment ID: O20050524001355

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. Bharathi Rasagolla 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
Bharathi Rasagolla, FNP 132 Lost Hls, Irvine, CA 92618-0823 Ph: (714) 350-3350	Bharathi Rasagolla, FNP 4902 Irvine Center Dr Ste 105, Irvine, CA 92604-3334 Ph: (949) 651-9671

Reviews and Comments

Nurse Practitioner Nurses in Irvine, CA

Katherine Lin Matsumoto, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 E Yale Loop Ste 204, Irvine, CA 92604 Phone: 949-732-3530 Fax: 949-732-3533
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Tina Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19742 Macarthur Blvd Ste 101, Irvine, CA 92612 Phone: 949-955-0202 Fax: 949-955-0203
Kelly Eguchi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17782 Cowan Ste A, Irvine, CA 92614 Phone: 949-722-7118
Alice Kwon-song, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15825 Laguna Canyon Rd Ste 104, Irvine, CA 92618 Phone: 949-585-9870
Mrs. Medjinn Thomas, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2801 Kelvin Ave Unit 381, Irvine, CA 92614 Phone: 610-568-0201

Bharathi Rasagolla, FNP - Medicare Nurse Practitioner in Irvine, CA