Nancy Cisneros, FNP is a medicare enrolled "Nurse Practitioner - Family" in Hughson, California. Her current practice location is
2412 3rd St, Hughson, California. You can reach out to her office (for appointments etc.) via phone at
(209) 558-7250.
Nancy Cisneros is licensed to practice in California (license number 95016313) 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 1104414598.
Provider's Profile
| Full Name | Nancy Cisneros |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2412 3rd St, Hughson, 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: 1104414598
- Provider Enumeration Date: 01/02/2021
- Last Update Date: 01/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 6901211556
- Enrollment ID: I20210212002053
Medical Identifiers
Medical identifiers for Nancy Cisneros such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104414598 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95016313 (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. Nancy Cisneros allows following entities to bill medicare on her behalf.
| Entity Name | Scenic Faculty Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275559411
PECOS PAC ID: 3870487838
Enrollment ID: O20040210001195 |
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| Entity Name | Livingston Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427110329
PECOS PAC ID: 8820084692
Enrollment ID: O20040426000617 |
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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. Nancy Cisneros 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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Nancy Cisneros, FNP
2230 Cherry Tree Ln,
Riverbank, CA 95367-2105
Ph: (209) 380-4242 | Nancy Cisneros, FNP
2412 3rd St,
Hughson, CA 95326-9310
Ph: (209) 558-7250 |
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