Rachel Grace Lee Israel, CNM is a medicare enrolled "Advanced Practice Midwife" in Buena Park, California. Her current practice location is
6915 Faculty Cir Apt D, Buena Park, California. You can reach out to her office (for appointments etc.) via phone at
(714) 624-9608.
Rachel Grace Lee Israel is licensed to practice in California (license number 235913) 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 1487167748.
Provider's Profile
Full Name | Rachel Grace Lee Israel |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 6915 Faculty Cir Apt D, Buena Park, 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: 1487167748
- Provider Enumeration Date: 11/08/2017
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 6800151523
- Enrollment ID: I20180530003004
Medical Identifiers
Medical identifiers for Rachel Grace Lee Israel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487167748 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 235913 (California) | Primary |
363LW0102X | Nurse Practitioner - Women's Health | 95007689 (California) | Secondary |
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. Rachel Grace Lee Israel allows following entities to bill medicare on her behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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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. Rachel Grace Lee Israel 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 |
Rachel Grace Lee Israel, CNM 6915 Faculty Cir Apt D, Buena Park, CA 90621-3764 Ph: () - | Rachel Grace Lee Israel, CNM 6915 Faculty Cir Apt D, Buena Park, CA 90621-3764 Ph: (714) 624-9608 |
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