Melvina Kuoshu, in San Jose, CA - Medicare Nurse Practitioner

Melvina Kuoshu, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Jose, California. Her current practice location is 1870 Lundy Ave, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (415) 391-9686.

Melvina Kuoshu is licensed to practice in California (license number 95032230) 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 1457198699.

Contact Information

	Melvina Kuoshu,
	1870 Lundy Ave, San Jose, CA 95131-1826
	(415) 391-9686
	Not Available

Map and Direction

Provider's Profile

Full Name	Melvina Kuoshu
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1870 Lundy Ave, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457198699
Provider Enumeration Date: 07/15/2024
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 5890228910
Enrollment ID: I20241029000916

Medical Identifiers

Medical identifiers for Melvina Kuoshu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457198699	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95032230 (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. Melvina Kuoshu allows following entities to bill medicare on her behalf.

Entity Name	North East Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093992844 PECOS PAC ID: 4284520529 Enrollment ID: O20040224001157

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. Melvina Kuoshu 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
Melvina Kuoshu, 602 Brentridge Pl, Antioch, TN 37013-3764 Ph: (864) 884-4826	Melvina Kuoshu, 1870 Lundy Ave, San Jose, CA 95131-1826 Ph: (415) 391-9686

Reviews and Comments

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Julie Dutton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4855 Atherton Ave Ste 101, San Jose, CA 95130 Phone: 408-963-2400 Fax: 408-963-2472
Thu Lan T Pham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-5000
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Melvina Kuoshu, - Medicare Nurse Practitioner in San Jose, CA