Mr Clifford Leo Faubert, in Roseville, CA - Medicare Nurse Practitioner

Mr Clifford Leo Faubert, is a medicare enrolled "Nurse Practitioner - Acute Care" in Roseville, California. His current practice location is 1937 Ellesmere Loop, Roseville, California. You can reach out to his office (for appointments etc.) via phone at (916) 586-0075.

Mr Clifford Leo Faubert is licensed to practice in California (license number 95010522) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215407051.

Contact Information

	Mr Clifford Leo Faubert,
	1937 Ellesmere Loop, Roseville, CA 95747-5085
	(916) 586-0075
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Clifford Leo Faubert
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	1937 Ellesmere Loop, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215407051
Provider Enumeration Date: 12/04/2018
Last Update Date: 12/30/2021

Medicare PECOS Information:

PECOS PAC ID: 4486019155
Enrollment ID: I20230502001871

Medical Identifiers

Medical identifiers for Mr Clifford Leo Faubert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215407051	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95010522 (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. Mr Clifford Leo Faubert allows following entities to bill medicare on his behalf.

Entity Name	Go Gently Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447889274 PECOS PAC ID: 9931510187 Enrollment ID: O20210331001579

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. Mr Clifford Leo Faubert 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
Mr Clifford Leo Faubert, 1937 Ellesmere Loop, Roseville, CA 95747-5085 Ph: () -	Mr Clifford Leo Faubert, 1937 Ellesmere Loop, Roseville, CA 95747-5085 Ph: (916) 586-0075

Reviews and Comments

Nurse Practitioner Nurses in Roseville, CA

Elizabeth Barbara Willerup, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1643 Eureka Rd, Roseville, CA 95661 Phone: 916-771-7627 Fax: 916-771-7650
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Ms. Linda Rose Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Women's Health , Permanente Medical Group, Roseville, CA 95661 Phone: 916-784-5003
Mrs. Marly R Stubbs, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 945 Roseville Pkwy, Suite 150, Roseville, CA 95678 Phone: 916-788-8444 Fax: 916-788-8449
Catherine E Taylor, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661 Phone: 916-782-2229 Fax: 916-797-9414
Kimberly S. Newlin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1670 Fax: 916-781-1604

Mr Clifford Leo Faubert, - Medicare Nurse Practitioner in Roseville, CA