Davis Moindi Openda, NP in Modesto, CA - Medicare Nurse Practitioner

Davis Moindi Openda, NP is a medicare enrolled "Nurse Practitioner" in Modesto, California. His current practice location is 1552 Coffee Rd Ste 200, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 248-7168.

Davis Moindi Openda is licensed to practice in California (license number 95005007) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497147409.

Contact Information

	Davis Moindi Openda, NP
	1552 Coffee Rd Ste 200, Modesto, CA 95355-3122
	(209) 248-7168
	(209) 846-9641

Map and Direction

Provider's Profile

Full Name	Davis Moindi Openda
Gender	Male
Speciality	Nurse Practitioner
Location	1552 Coffee Rd Ste 200, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497147409
Provider Enumeration Date: 02/27/2015
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2365763182
Enrollment ID: I20161101002341

Medical Identifiers

Medical identifiers for Davis Moindi Openda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497147409	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AG0814094 (Minnesota)	Secondary
363L00000X	Nurse Practitioner	95005007 (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. Davis Moindi Openda allows following entities to bill medicare on his behalf.

Entity Name	Norcal Pain Treatment Center Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720631708 PECOS PAC ID: 5698007086 Enrollment ID: O20191105000864

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. Davis Moindi Openda 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
Davis Moindi Openda, NP 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 Ph: (209) 248-7168	Davis Moindi Openda, NP 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 Ph: (209) 248-7168

Reviews and Comments

Nurse Practitioner Nurses in Modesto, CA

Anissa Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069
Nameeta Heer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1316 Celeste Dr, Modesto, CA 95355 Phone: 209-571-1055
Mrs. Lois Elaine Lewis, RN NURSE PRACTITIONE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 W Granger Ave, Modesto, CA 95350 Phone: 209-579-9930 Fax: 209-579-9941
Ms. Margaret Baker, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1448 Florida Ave, Modesto, CA 95350 Phone: 209-523-1884 Fax: 209-523-2566
Ms. Fantine Warda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-526-4500 Fax: 209-572-7901
Shararah Aziz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069
Sukhjit Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 17th St, Modesto, CA 95354 Phone: 209-251-0200

Davis Moindi Openda, NP - Medicare Nurse Practitioner in Modesto, CA