Nanette Caballes Fong, NP in Los Angeles, CA - Medicare Nurse Practitioner

Nanette Caballes Fong, NP is a medicare enrolled "Nurse Practitioner" in Los Angeles, California. Her current practice location is 300 Medical Plaza B200, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 794-1195.

Nanette Caballes Fong is licensed to practice in California (license number 15820) 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 1154355758.

Contact Information

	Nanette Caballes Fong, NP
	300 Medical Plaza B200, Los Angeles, CA 90095-3075
	(310) 794-1195
	(310) 794-7491

Map and Direction

Provider's Profile

Full Name	Nanette Caballes Fong
Gender	Female
Speciality	Nurse Practitioner
Location	300 Medical Plaza B200, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154355758
Provider Enumeration Date: 07/10/2006
Last Update Date: 01/16/2020

Medicare PECOS Information:

PECOS PAC ID: 9638185051
Enrollment ID: I20060222000555

Medical Identifiers

Medical identifiers for Nanette Caballes Fong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154355758	NPI	-	NPPES
00G634350	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	588928 (California)	Secondary
364S00000X	Clinical Nurse Specialist	2298 (California)	Secondary
363L00000X	Nurse Practitioner	15820 (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. Nanette Caballes Fong allows following entities to bill medicare on her behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437117074 PECOS PAC ID: 1456255959 Enrollment ID: O20031125000959

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. Nanette Caballes Fong 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
Nanette Caballes Fong, NP 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Nanette Caballes Fong, NP 300 Medical Plaza B200, Los Angeles, CA 90095-3075 Ph: (310) 794-1195

Reviews and Comments

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Nanette Caballes Fong, NP - Medicare Nurse Practitioner in Los Angeles, CA