Elaiza Jazmyn Duran, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Hilmar, California. Her current practice location is
19901 1st St Ste 4, Hilmar, California. You can reach out to her office (for appointments etc.) via phone at
(209) 656-8701.
Elaiza Jazmyn Duran is licensed to practice in California (license number 95003483) 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 1639591142.
Provider's Profile
| Full Name | Elaiza Jazmyn Duran |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 19901 1st St Ste 4, Hilmar, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639591142
- Provider Enumeration Date: 01/17/2014
- Last Update Date: 12/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 1052660677
- Enrollment ID: I20180815001689
Medical Identifiers
Medical identifiers for Elaiza Jazmyn Duran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639591142 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95003483 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Elaiza Jazmyn Duran allows following entities to bill medicare on her behalf.
| Entity Name | Merced Faculty Associates Medical Group Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285623256
PECOS PAC ID: 4789678111
Enrollment ID: O20040409000199 |
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| Entity Name | El Portal Radiation Oncology Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902062136
PECOS PAC ID: 3678637378
Enrollment ID: O20090124000099 |
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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. Elaiza Jazmyn Duran 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 |
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Elaiza Jazmyn Duran, RN, FNP
Po Box 3768,
Merced, CA 95344-3768
Ph: (209) 725-7149 | Elaiza Jazmyn Duran, RN, FNP
19901 1st St Ste 4,
Hilmar, CA 95324-9099
Ph: (209) 656-8701 |
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