Mrs Faridah Mumin, FNP in San Diego, CA - Medicare Nurse Practitioner

Mrs Faridah Mumin, FNP is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. Her current practice location is 12400 High Bluff Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (832) 453-0704.

Mrs Faridah Mumin is licensed to practice in Texas (license number AP133533) 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 1710412432.

Contact Information

	Mrs Faridah Mumin, FNP
	12400 High Bluff Dr, San Diego, CA 92130-3077
	(832) 453-0704
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Faridah Mumin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12400 High Bluff Dr, 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: 1710412432
Provider Enumeration Date: 05/01/2017
Last Update Date: 10/09/2018

Medicare PECOS Information:

PECOS PAC ID: 4183972607
Enrollment ID: I20180731002295

Medical Identifiers

Medical identifiers for Mrs Faridah Mumin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710412432	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NPF95008183 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	AP133533 (Texas)	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 Faridah Mumin allows following entities to bill medicare on her behalf.

Entity Name	St Johns Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434

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 Faridah Mumin 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 Faridah Mumin, FNP 349 S Lafeyette Park Place Apt 125, Los Angeles, CA 90057 Ph: (832) 453-0704	Mrs Faridah Mumin, FNP 12400 High Bluff Dr, San Diego, CA 92130-3077 Ph: (832) 453-0704

Reviews and Comments

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Mrs Faridah Mumin, FNP - Medicare Nurse Practitioner in San Diego, CA