Mrs Concepcion Fornaris Caballero, APRN in Hollywood, FL

Mrs Concepcion Fornaris Caballero, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Hollywood, Florida. Her current practice location is 6351 Adams St, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 638-6924.

Mrs Concepcion Fornaris Caballero is licensed to practice in Florida (license number 11002534) 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 1922666312.

Contact Information

	Mrs Concepcion Fornaris Caballero, APRN
	6351 Adams St, Hollywood, FL 33023-1749
	(954) 638-6924
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Concepcion Fornaris Caballero
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	6351 Adams St, Hollywood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922666312
Provider Enumeration Date: 05/31/2019
Last Update Date: 05/31/2019

Medicare PECOS Information:

PECOS PAC ID: 7416369137
Enrollment ID: I20201221002558

Medical Identifiers

Medical identifiers for Mrs Concepcion Fornaris Caballero such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922666312	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	11002534 (Florida)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	11002534 (Florida)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	11002534 (Florida)	Primary

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 Concepcion Fornaris Caballero 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 Concepcion Fornaris Caballero, APRN 6351 Adams St, Hollywood, FL 33023-1749 Ph: (954) 638-6924	Mrs Concepcion Fornaris Caballero, APRN 6351 Adams St, Hollywood, FL 33023-1749 Ph: (954) 638-6924

Reviews and Comments

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Mrs Concepcion Fornaris Caballero, APRN - Medicare Nurse Practitioner in Hollywood, FL