Mrs Lisa Sonia Frutos, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Firebaugh, California. Her current practice location is
1107 O St, Firebaugh, California. You can reach out to her office (for appointments etc.) via phone at
(559) 659-9000.
Mrs Lisa Sonia Frutos is licensed to practice in California (license number 12078) 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 1073721304.
Provider's Profile
| Full Name | Mrs Lisa Sonia Frutos |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1107 O St, Firebaugh, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073721304
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 12/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395994594
- Enrollment ID: I20121003000586
Medical Identifiers
Medical identifiers for Mrs Lisa Sonia Frutos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073721304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 12078 (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. Mrs Lisa Sonia Frutos allows following entities to bill medicare on her behalf.
| Entity Name | Saint Agnes Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558819482
PECOS PAC ID: 7618946369
Enrollment ID: O20170125002669 |
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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 Lisa Sonia Frutos 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 |
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Mrs Lisa Sonia Frutos, RN, FNP
1574 Escalon Ave,
Clovis, CA 93611-0501
Ph: (559) 824-1828 | Mrs Lisa Sonia Frutos, RN, FNP
1107 O St,
Firebaugh, CA 93622-2224
Ph: (559) 659-9000 |
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