Mrs Rachel Janette Kallemeyn, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, California. Her current practice location is
199 Twin Lakes Road, Bridgeport, California. You can reach out to her office (for appointments etc.) via phone at
(530) 495-2100.
Mrs Rachel Janette Kallemeyn is licensed to practice in California (license number 95011208) 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 1235696287.
Provider's Profile
| Full Name | Mrs Rachel Janette Kallemeyn |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 199 Twin Lakes Road, Bridgeport, 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: 1235696287
- Provider Enumeration Date: 02/26/2019
- Last Update Date: 10/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991045403
- Enrollment ID: I20190320001543
Medical Identifiers
Medical identifiers for Mrs Rachel Janette Kallemeyn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235696287 | NPI | - | NPPES |
| 1235696287 | Medicaid | ID | |
| THP11576F | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 6361073 (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95011208 (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 Rachel Janette Kallemeyn allows following entities to bill medicare on her behalf.
| Entity Name | Toiyabe Indian Health Project Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659433191
PECOS PAC ID: 2668419813
Enrollment ID: O20050411000182 |
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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 Rachel Janette Kallemeyn 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 Rachel Janette Kallemeyn, FNP
250 N See Vee Ln,
Bishop, CA 93514-8130
Ph: (760) 873-8464 | Mrs Rachel Janette Kallemeyn, FNP
199 Twin Lakes Road,
Bridgeport, CA 93517
Ph: (530) 495-2100 |
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