Mrs Andrea S Higginbotham, CRNP in San Diego, CA

Mrs Andrea S Higginbotham, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in San Diego, California. Her current practice location is 13280 Evening Creek Dr S Ste 225, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (877) 257-0637.

Mrs Andrea S Higginbotham is licensed to practice in Alabama (license number 1-105427) 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 1003140971.

Contact Information

	Mrs Andrea S Higginbotham, CRNP
	13280 Evening Creek Dr S Ste 225, San Diego, CA 92128-4664
	(877) 257-0637
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Andrea S Higginbotham
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	13280 Evening Creek Dr S Ste 225, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003140971
Provider Enumeration Date: 09/25/2009
Last Update Date: 11/01/2024

Medicare PECOS Information:

PECOS PAC ID: 1254570708
Enrollment ID: I20181205002035

Medical Identifiers

Medical identifiers for Mrs Andrea S Higginbotham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003140971	NPI	-	NPPES
011846	Other	AL	MEDICARE GROUP PAYEE NUMBER
630000013	Medicaid	AL
1063439065	Other	AL	NPI SITE GROUP PAYEE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1-105427 (Alabama)	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. Mrs Andrea S Higginbotham allows following entities to bill medicare on her behalf.

Entity Name	Hospital Medicine Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093758781 PECOS PAC ID: 9234156985 Enrollment ID: O20061002000335

Entity Name	Vincentian Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851698310 PECOS PAC ID: 1557548161 Enrollment ID: O20110608000452

Entity Name	Mdwatch Medical Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548842370 PECOS PAC ID: 3870992670 Enrollment ID: O20240402002364

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. Mrs Andrea S Higginbotham 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
Mrs Andrea S Higginbotham, CRNP 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128-4664 Ph: (205) 930-2456	Mrs Andrea S Higginbotham, CRNP 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128-4664 Ph: (877) 257-0637

Reviews and Comments

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Mrs Andrea S Higginbotham, CRNP - Medicare Nurse Practitioner in San Diego, CA