Desirae Rachelle Exendine, DNP, APRN, NNP-BC - Medicare Nurse Practitioner in San Diego, CA

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Desirae Rachelle Exendine, DNP, APRN, NNP-BC is a medicare enrolled "Nurse Practitioner - Neonatal" in San Diego, California. Her current practice location is 3010 Childrens Way, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 966-5818.

Desirae Rachelle Exendine is licensed to practice in California (license number NP95015583) 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 1215541131.

Contact Information

Desirae Rachelle Exendine, DNP, APRN, NNP-BC
3010 Childrens Way,
San Diego, CA 92123-4223
(858) 966-5818
Not Available

Map and Direction




Provider's Profile

Full NameDesirae Rachelle Exendine
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location3010 Childrens Way, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215541131
  • Provider Enumeration Date: 09/08/2020
  • Last Update Date: 09/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234527664
  • Enrollment ID: I20211103002789

Medical Identifiers

Medical identifiers for Desirae Rachelle Exendine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215541131NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal NP95015583 (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. Desirae Rachelle Exendine allows following entities to bill medicare on her behalf.
Entity NameUcsf Pediatrics Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376614016
PECOS PAC ID: 6204749112
Enrollment ID: O20031106000823
Entity NameRegents Of The Univ Of Ca
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013906973
PECOS PAC ID: 3375456619
Enrollment ID: O20031111000892
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Dept Of Surgery
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477627537
PECOS PAC ID: 7719886373
Enrollment ID: O20040102000839
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513

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. Desirae Rachelle Exendine 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
Desirae Rachelle Exendine, DNP, APRN, NNP-BC
3020 Childrens Way # Mc5008,
San Diego, CA 92123-4223

Ph: (858) 966-5818		Desirae Rachelle Exendine, DNP, APRN, NNP-BC
3010 Childrens Way,
San Diego, CA 92123-4223

Ph: (858) 966-5818

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).

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