Miss Vanessa Sosa, is a medicare enrolled "Nurse Practitioner - Family" in Galt, California. Her current practice location is
387 Civic Dr, Galt, California. You can reach out to her office (for appointments etc.) via phone at
(209) 745-8080.
Miss Vanessa Sosa is licensed to practice in California (license number 95016324) 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 1447847801.
Provider's Profile
| Full Name | Miss Vanessa Sosa |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 387 Civic Dr, Galt, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447847801
- Provider Enumeration Date: 12/30/2020
- Last Update Date: 06/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 7517373848
- Enrollment ID: I20210310001825
Medical Identifiers
Medical identifiers for Miss Vanessa Sosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447847801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95016324 (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. Miss Vanessa Sosa allows following entities to bill medicare on her behalf.
| Entity Name | Lodi Memorial Hospital Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861649352
PECOS PAC ID: 7618880717
Enrollment ID: O20050517000577 |
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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 Vanessa Sosa 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 |
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Miss Vanessa Sosa,
2415 W Vine St Ste 103,
Lodi, CA 95242-3731
Ph: (209) 333-3030 | Miss Vanessa Sosa,
387 Civic Dr,
Galt, CA 95632-2059
Ph: (209) 745-8080 |
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