Melissa M Marquez-formica, - Medicare Nurse Practitioner in Folsom, CA

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Melissa M Marquez-formica, is a medicare enrolled "Nurse Practitioner - Acute Care" in Folsom, California. Her current practice location is 1730 Prairie City Rd Ste 120, Folsom, California. You can reach out to her office (for appointments etc.) via phone at (916) 351-4800.

Melissa M Marquez-formica is licensed to practice in California (license number 95022981) 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 1679299382.

Contact Information

Melissa M Marquez-formica,
1730 Prairie City Rd Ste 120,
Folsom, CA 95630-9594
(916) 351-4800
(916) 357-6194

Map and Direction




Provider's Profile

Full NameMelissa M Marquez-formica
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location1730 Prairie City Rd Ste 120, Folsom, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679299382
  • Provider Enumeration Date: 10/13/2022
  • Last Update Date: 06/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830558410
  • Enrollment ID: I20230629001426

Medical Identifiers

Medical identifiers for Melissa M Marquez-formica such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679299382NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 95022981 (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. Melissa M Marquez-formica allows following entities to bill medicare on her behalf.
Entity NameDignity Health Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700803418
PECOS PAC ID: 7810800661
Enrollment ID: O20031107000709
Entity NameOrthopedic Trauma Surgeons Of Northern California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821031741
PECOS PAC ID: 5698781938
Enrollment ID: O20060223000806

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. Melissa M Marquez-formica 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 AddressPractice Location Address
Melissa M Marquez-formica,
3400 Data Dr,
Rancho Cordova, CA 95670-7956

Ph: () -		Melissa M Marquez-formica,
1730 Prairie City Rd Ste 120,
Folsom, CA 95630-9594

Ph: (916) 351-4800

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.