Miss Autumn Leci Fornasero, MS PA-C in Brawley, CA

Miss Autumn Leci Fornasero, MS PA-C is a medicare enrolled "Physician Assistant - Medical" in Brawley, California. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 207 W Legion Rd, Brawley, California. You can reach out to her office (for appointments etc.) via phone at (760) 351-3333.

Miss Autumn Leci Fornasero is licensed to practice in California (license number PA21802) 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 1124300959.

Contact Information

	Miss Autumn Leci Fornasero, MS PA-C
	207 W Legion Rd, Brawley, CA 92227-7780
	(760) 351-3333
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Autumn Leci Fornasero
Gender	Female
Speciality	Physician Assistant
Experience	13 Years
Location	207 W Legion Rd, Brawley, 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:

Miss Autumn Leci Fornasero graduated from nursing school in 2011

NPI Data:

NPI Number: 1124300959
Provider Enumeration Date: 09/19/2011
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 1557534724
Enrollment ID: I20111103000313

Medical Identifiers

Medical identifiers for Miss Autumn Leci Fornasero such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124300959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA21802 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Miss Autumn Leci Fornasero 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
Miss Autumn Leci Fornasero, MS PA-C 207 W Legion Rd, Brawley, CA 92227-7780 Ph: (760) 351-3333	Miss Autumn Leci Fornasero, MS PA-C 207 W Legion Rd, Brawley, CA 92227-7780 Ph: (760) 351-3333

Reviews and Comments

Physician Assistant Nurses in Brawley, CA

Mr. Marshall Ray Debruler, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-445-3050
Elvis Santillan, Physician Assistant Medicare: Medicare Enrolled Practice Location: 197 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333
Laurel Crismon Popplewell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333
Omayra Montalvo, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 Main St, Brawley, CA 92227 Phone: 760-344-6471 Fax: 760-344-8410
Salma Foroozan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 Main St, Brawley, CA 92227 Phone: 760-344-6471 Fax: 760-344-8410
Mr. Christopher Leslie Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333

Miss Autumn Leci Fornasero, MS PA-C - Medicare Physician Assistant in Brawley, CA