Mr David Mendiola Basco Iii, NURSE PRACTITIONER in Sacramento, CA

Mr David Mendiola Basco Iii, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Sacramento, California. His current practice location is 3301 C St Ste 1500, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (916) 734-7463.

Mr David Mendiola Basco Iii is licensed to practice in California (license number 95022230) 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 1790413920.

Contact Information

	Mr David Mendiola Basco Iii, NURSE PRACTITIONER
	3301 C St Ste 1500, Sacramento, CA 95816-3371
	(916) 734-7463
	(916) 734-6493

Map and Direction

Provider's Profile

Full Name	Mr David Mendiola Basco Iii
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3301 C St Ste 1500, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790413920
Provider Enumeration Date: 08/15/2022
Last Update Date: 05/24/2023

Medicare PECOS Information:

PECOS PAC ID: 4587049697
Enrollment ID: I20220909001733

Medical Identifiers

Medical identifiers for Mr David Mendiola Basco Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790413920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	802458 (California)	Secondary
363L00000X	Nurse Practitioner	F07221391 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95022230 (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 David Mendiola Basco Iii allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The Univ Of Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892

Entity Name	Active Life Wound Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801253323 PECOS PAC ID: 9436419017 Enrollment ID: O20180130000241

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 David Mendiola Basco Iii 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 David Mendiola Basco Iii, NURSE PRACTITIONER 4800 Y Street, Suite 3740, Sacramento, CA 95817 Ph: (916) 734-3658	Mr David Mendiola Basco Iii, NURSE PRACTITIONER 3301 C St Ste 1500, Sacramento, CA 95816-3371 Ph: (916) 734-7463

Reviews and Comments

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Mr David Mendiola Basco Iii, NURSE PRACTITIONER - Medicare Nurse Practitioner in Sacramento, CA