Dr Coral Roseberry, DNP, FNP, AGNP in La Mesa, CA

Dr Coral Roseberry, DNP, FNP, AGNP is a medicare enrolled "Nurse Practitioner - Family" in La Mesa, California. Her current practice location is 8851 Center Dr Ste 408, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (619) 583-1174.

Dr Coral Roseberry is licensed to practice in California (license number 95026375) 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 1255012860.

Contact Information

	Dr Coral Roseberry, DNP, FNP, AGNP
	8851 Center Dr Ste 408, La Mesa, CA 91942-3076
	(619) 583-1174
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Coral Roseberry
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8851 Center Dr Ste 408, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255012860
Provider Enumeration Date: 07/26/2023
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 5799149217
Enrollment ID: I20230915001646

Medical Identifiers

Medical identifiers for Dr Coral Roseberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255012860	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN95169759 (California)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	95026375 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95026375 (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. Dr Coral Roseberry allows following entities to bill medicare on her behalf.

Entity Name	Majid Shahbaz Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295839934 PECOS PAC ID: 8224112628 Enrollment ID: O20080225000153

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. Dr Coral Roseberry 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
Dr Coral Roseberry, DNP, FNP, AGNP 9395 Harritt Rd Spc 111, Lakeside, CA 92040-3530 Ph: () -	Dr Coral Roseberry, DNP, FNP, AGNP 8851 Center Dr Ste 408, La Mesa, CA 91942-3076 Ph: (619) 583-1174

Reviews and Comments

Nurse Practitioner Nurses in La Mesa, CA

Miss April Julia Brewster, PMHNP-BC, APRN, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-296-6182
Wendy M Alva, CPNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8881 Fletcher Pkwy Ste 360, La Mesa, CA 91942 Phone: 858-279-1223
Farhana Maswood, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5332 Jackson Dr, La Mesa, CA 91942 Phone: 619-303-0933
Hoda Melissa Kashikar, RN, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy, Suite 360, La Mesa, CA 91942 Phone: 619-460-2700
Chelsea Provenzano, MSN, FNP- C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8851 Center Dr Ste 408, La Mesa, CA 91942 Phone: 619-583-1174 Fax: 619-583-4609
Hannah Bradley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5111 Garfield St Ste B, La Mesa, CA 91941 Phone: 619-698-9375
Maja Ceranic, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8665 La Mesa Blvd, La Mesa, CA 91942 Phone: 619-465-0702

Dr Coral Roseberry, DNP, FNP, AGNP - Medicare Nurse Practitioner in La Mesa, CA