Racheal Forghab Kedze, CNP in San Antonio, TX

Racheal Forghab Kedze, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Antonio, Texas. Her current practice location is 8603 N Loop 1604 W, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at (515) 422-8448.

Racheal Forghab Kedze is licensed to practice in Texas (license number 1088598) 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 1700443736.

Contact Information

	Racheal Forghab Kedze, CNP
	8603 N Loop 1604 W, San Antonio, TX 78249-2601
	(515) 422-8448
	Not Available

Map and Direction

Provider's Profile

Full Name	Racheal Forghab Kedze
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	8603 N Loop 1604 W, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700443736
Provider Enumeration Date: 05/24/2019
Last Update Date: 08/11/2022

Medicare PECOS Information:

PECOS PAC ID: 9537545645
Enrollment ID: I20220927002280

Medical Identifiers

Medical identifiers for Racheal Forghab Kedze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700443736	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WH0200X	Registered Nurse - Home Health	942000 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1088598 (Texas)	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. Racheal Forghab Kedze allows following entities to bill medicare on her behalf.

Entity Name	Senior Psychcare Of San Antonio I Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225324270 PECOS PAC ID: 8628241544 Enrollment ID: O20111109000140

Entity Name	Grand Vista Behavioral Health Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366182164 PECOS PAC ID: 6507232758 Enrollment ID: O20221013001275

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. Racheal Forghab Kedze 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
Racheal Forghab Kedze, CNP 8603 N Loop 1604 W, San Antonio, TX 78249-2601 Ph: (515) 422-8448	Racheal Forghab Kedze, CNP 8603 N Loop 1604 W, San Antonio, TX 78249-2601 Ph: (515) 422-8448

Reviews and Comments

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Racheal Forghab Kedze, CNP - Medicare Nurse Practitioner in San Antonio, TX