Frederick Wycoco, NP in San Diego, CA - Medicare Nurse Practitioner

Frederick Wycoco, NP is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. His current practice location is 446 Alta Rd # 5300, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 661-2789.

Frederick Wycoco is licensed to practice in California (license number 95010473) 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 1609331560.

Contact Information

	Frederick Wycoco, NP
	446 Alta Rd # 5300, San Diego, CA 92158-0001
	(619) 661-2789
	Not Available

Map and Direction

Provider's Profile

Full Name	Frederick Wycoco
Gender	Male
Speciality	Nurse Practitioner - Family
Location	446 Alta Rd # 5300, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609331560
Provider Enumeration Date: 02/05/2019
Last Update Date: 10/14/2024

Medicare PECOS Information:

PECOS PAC ID: 3577805605
Enrollment ID: I20190422000164

Medical Identifiers

Medical identifiers for Frederick Wycoco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609331560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95010473 (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. Frederick Wycoco allows following entities to bill medicare on his behalf.

Entity Name	Operation Samahan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275617169 PECOS PAC ID: 7911932645 Enrollment ID: O20051001000054

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. Frederick Wycoco 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
Frederick Wycoco, NP 446 Alta Rd # 5300, San Diego, CA 92158-0001 Ph: (619) 661-2789	Frederick Wycoco, NP 446 Alta Rd # 5300, San Diego, CA 92158-0001 Ph: (619) 661-2789

Reviews and Comments

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Frederick Wycoco, NP - Medicare Nurse Practitioner in San Diego, CA