Rachael Adair, CNM, PMHNP is a medicare enrolled "Midwife" in Fortuna, California. Her current practice location is
3309 Renner Dr, Fortuna, California. You can reach out to her office (for appointments etc.) via phone at
(707) 725-6108.
Rachael Adair is licensed to practice in California (license number 235732) 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 1104229483.
Provider's Profile
Full Name | Rachael Adair |
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Gender | Female |
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Speciality | Midwife |
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Location | 3309 Renner Dr, Fortuna, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104229483
- Provider Enumeration Date: 10/01/2014
- Last Update Date: 10/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 9931495637
- Enrollment ID: I20160906002669
Medical Identifiers
Medical identifiers for Rachael Adair such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104229483 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 751747 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95011778 (California) | Secondary |
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | APA60839107 (Washington) | Secondary |
176B00000X | Midwife | 235732 (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. Rachael Adair allows following entities to bill medicare on her behalf.
Entity Name | County Of Humboldt |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871676213 PECOS PAC ID: 4082516950 Enrollment ID: O20040121001146 |
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Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
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Entity Name | Redwood Women's Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871768200 PECOS PAC ID: 0547306433 Enrollment ID: O20091007000100 |
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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. Rachael Adair 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 |
Rachael Adair, CNM, PMHNP 1682 Clara Ave, Fortuna, CA 95540-3814 Ph: (707) 599-8839 | Rachael Adair, CNM, PMHNP 3309 Renner Dr, Fortuna, CA 95540-3119 Ph: (707) 725-6108 |
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