Gretchen Santos Fulgencio, RN, NP in Berkeley, CA

Gretchen Santos Fulgencio, RN, NP is a medicare enrolled "Nurse Practitioner - Family" in Berkeley, California. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of California San Francisco and her current practice location is 3100 San Pablo Ave., Suite 430, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (415) 476-3369.

Gretchen Santos Fulgencio is licensed to practice in California (license number 22811) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326421884.

Contact Information

	Gretchen Santos Fulgencio, RN, NP
	3100 San Pablo Ave., Suite 430, Berkeley, CA 94702
	(415) 476-3369
	(510) 985-5202

Map and Direction

Provider's Profile

Full Name	Gretchen Santos Fulgencio
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	3100 San Pablo Ave., Berkeley, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gretchen Santos Fulgencio graduated from nursing school in 2012

NPI Data:

NPI Number: 1326421884
Provider Enumeration Date: 07/02/2015
Last Update Date: 03/04/2020

Medicare PECOS Information:

PECOS PAC ID: 2365750007
Enrollment ID: I20150930001553

Medical Identifiers

Medical identifiers for Gretchen Santos Fulgencio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326421884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WX0200X	Registered Nurse - Oncology	676689 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	22811 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ucsf Medical Center	San francisco, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of California San Francisco	4486567229	1306

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. Gretchen Santos Fulgencio allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881763597 PECOS PAC ID: 4284547274 Enrollment ID: O20031106000389

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Dept Of Surgery
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477627537 PECOS PAC ID: 7719886373 Enrollment ID: O20040102000839

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Gretchen Santos Fulgencio 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
Gretchen Santos Fulgencio, RN, NP 3100 San Pablo Ave., Suite 430, Berkeley, CA 94702 Ph: (415) 476-3369	Gretchen Santos Fulgencio, RN, NP 3100 San Pablo Ave., Suite 430, Berkeley, CA 94702 Ph: (415) 476-3369

Reviews and Comments

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Gretchen Santos Fulgencio, RN, NP - Medicare Nurse Practitioner in Berkeley, CA