Ms Terry Agba, NP in Santa Ana, CA - Medicare Nurse Practitioner

Ms Terry Agba, NP is a medicare enrolled "Nurse Practitioner - Family" in Santa Ana, California. Her current practice location is 3130 Harbor Blvd, Ste 250, Santa Ana, California. You can reach out to her office (for appointments etc.) via phone at (888) 878-0009.

Ms Terry Agba is licensed to practice in California (license number 524491) 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 1518067081.

Contact Information

	Ms Terry Agba, NP
	3130 Harbor Blvd, Ste 250, Santa Ana, CA 92704
	(888) 878-0009
	(714) 619-8770

Map and Direction

Provider's Profile

Full Name	Ms Terry Agba
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3130 Harbor Blvd, Santa Ana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518067081
Provider Enumeration Date: 09/25/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7719198662
Enrollment ID: I20180516003028

Medical Identifiers

Medical identifiers for Ms Terry Agba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518067081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	524491 (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. Ms Terry Agba allows following entities to bill medicare on her behalf.

Entity Name	Sfs Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487318135 PECOS PAC ID: 5597158246 Enrollment ID: O20220202000848

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. Ms Terry Agba 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
Ms Terry Agba, NP 7399 Wake Forest Dr, Corona, CA 92880 Ph: (951) 479-5179	Ms Terry Agba, NP 3130 Harbor Blvd, Ste 250, Santa Ana, CA 92704 Ph: (888) 878-0009

Reviews and Comments

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Ms Terry Agba, NP - Medicare Nurse Practitioner in Santa Ana, CA