Kelly Eguchi, in Irvine, CA - Medicare Nurse Practitioner

Kelly Eguchi, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Irvine, California. Her current practice location is 17782 Cowan Ste A, Irvine, California. You can reach out to her office (for appointments etc.) via phone at (949) 722-7118.

Kelly Eguchi is licensed to practice in California (license number 95017830) 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 1013453612.

Contact Information

	Kelly Eguchi,
	17782 Cowan Ste A, Irvine, CA 92614-6041
	(949) 722-7118
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Eguchi
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	17782 Cowan Ste A, Irvine, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013453612
Provider Enumeration Date: 01/06/2017
Last Update Date: 11/22/2021

Medicare PECOS Information:

PECOS PAC ID: 5597141747
Enrollment ID: I20220926002785

Medical Identifiers

Medical identifiers for Kelly Eguchi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013453612	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95017830 (California)	Primary
163W00000X	Registered Nurse	95135887 (California)	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. Kelly Eguchi allows following entities to bill medicare on her behalf.

Entity Name	Progeny Psychiatric Clinic A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548735202 PECOS PAC ID: 4688904592 Enrollment ID: O20190919000593

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. Kelly Eguchi 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
Kelly Eguchi, 17782 Cowan Ste A, Irvine, CA 92614-6041 Ph: () -	Kelly Eguchi, 17782 Cowan Ste A, Irvine, CA 92614-6041 Ph: (949) 722-7118

Reviews and Comments

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Kelly Eguchi, - Medicare Nurse Practitioner in Irvine, CA