Mrs Theresa Ann Vincent, NP in Fountain Valley, CA

Mrs Theresa Ann Vincent, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fountain Valley, California. Her current practice location is 18126 Muir Woods Ct, Fountain Valley, California. You can reach out to her office (for appointments etc.) via phone at (714) 594-3887.

Mrs Theresa Ann Vincent is licensed to practice in California (license number 7763) 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 1619129178.

Contact Information

	Mrs Theresa Ann Vincent, NP
	18126 Muir Woods Ct, Fountain Valley, CA 92708-5937
	(714) 594-3887
	(714) 534-3887

Map and Direction

Provider's Profile

Full Name	Mrs Theresa Ann Vincent
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	18126 Muir Woods Ct, Fountain Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619129178
Provider Enumeration Date: 10/15/2008
Last Update Date: 04/03/2015

Medicare PECOS Information:

PECOS PAC ID: 0749566636
Enrollment ID: I20170406003220

Medical Identifiers

Medical identifiers for Mrs Theresa Ann Vincent such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619129178	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	7763 (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 Theresa Ann Vincent allows following entities to bill medicare on her behalf.

Entity Name	Special Service For Groups
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952442949 PECOS PAC ID: 2769396886 Enrollment ID: O20031113000561

Entity Name	County Of Fresno
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770538001 PECOS PAC ID: 4981591690 Enrollment ID: O20040227000935

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 Theresa Ann Vincent 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 Theresa Ann Vincent, NP 18126 Muir Woods Ct, Fountain Valley, CA 92708-5937 Ph: (714) 594-3887	Mrs Theresa Ann Vincent, NP 18126 Muir Woods Ct, Fountain Valley, CA 92708-5937 Ph: (714) 594-3887

Reviews and Comments

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Mrs Theresa Ann Vincent, NP - Medicare Nurse Practitioner in Fountain Valley, CA