Mrs Nancy Bravo, PA-C in San Bernardino, CA - Medicare Physician Assistant

Mrs Nancy Bravo, PA-C is a medicare enrolled "Physician Assistant - Surgical" in San Bernardino, California. Her current practice location is 250 E Caroline St, Suite A, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (909) 730-2134.

Mrs Nancy Bravo is licensed to practice in California (license number PA22527) 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 1104177849.

Contact Information

	Mrs Nancy Bravo, PA-C
	250 E Caroline St, Suite A, San Bernardino, CA 92408-3747
	(909) 730-2134
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Nancy Bravo
Gender	Female
Speciality	Physician Assistant - Surgical
Location	250 E Caroline St, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104177849
Provider Enumeration Date: 09/20/2012
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 9537304449
Enrollment ID: I20130326000099

Medical Identifiers

Medical identifiers for Mrs Nancy Bravo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104177849	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA22527 (California)	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 Nancy Bravo 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 Nancy Bravo, PA-C 250 E Caroline St, Suite A, San Bernardino, CA 92408-3747 Ph: (909) 730-2134	Mrs Nancy Bravo, PA-C 250 E Caroline St, Suite A, San Bernardino, CA 92408-3747 Ph: (909) 730-2134

Reviews and Comments

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Mrs Nancy Bravo, PA-C - Medicare Physician Assistant in San Bernardino, CA