Lily Pe Khoshaba, FNP is a medicare enrolled "Nurse Practitioner - Community Health" in Winton, California. Her current practice location is
6596 N Winton Way, Winton, California. You can reach out to her office (for appointments etc.) via phone at
(209) 357-7755.
Lily Pe Khoshaba is licensed to practice in California (license number NP13851) 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 1598986192.
Provider's Profile
Full Name | Lily Pe Khoshaba |
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Gender | Female |
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Speciality | Nurse Practitioner - Community Health |
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Location | 6596 N Winton Way, Winton, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598986192
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 10/07/2014
Medicare PECOS Information:
- PECOS PAC ID: 1052385192
- Enrollment ID: I20040824000580
Medical Identifiers
Medical identifiers for Lily Pe Khoshaba such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598986192 | NPI | - | NPPES |
NP13851 | Other | CA | NURSE PRACTIONER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LC1500X | Nurse Practitioner - Community Health | NP13851 (California) | Primary |
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. Lily Pe Khoshaba 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 |
Lily Pe Khoshaba, FNP 6596 N Winton Way, Winton, CA 95388-9532 Ph: (209) 357-7755 | Lily Pe Khoshaba, FNP 6596 N Winton Way, Winton, CA 95388-9532 Ph: (209) 357-7755 |
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