Rafael Luis Fonseca, FNP in Plano, TX - Medicare Nurse Practitioner

Rafael Luis Fonseca, FNP is a medicare enrolled "Nurse Practitioner - Family" in Plano, Texas. His current practice location is 2300 14th St Ste 145, Plano, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 904-0812.

Rafael Luis Fonseca is licensed to practice in Texas (license number 1089259) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316674880.

Contact Information

	Rafael Luis Fonseca, FNP
	2300 14th St Ste 145, Plano, TX 75074-6445
	(972) 904-0812
	Not Available

Map and Direction

Provider's Profile

Full Name	Rafael Luis Fonseca
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2300 14th St Ste 145, Plano, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316674880
Provider Enumeration Date: 08/04/2022
Last Update Date: 11/03/2022

Medicare PECOS Information:

PECOS PAC ID: 8325403983
Enrollment ID: I20241121003206

Medical Identifiers

Medical identifiers for Rafael Luis Fonseca such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316674880	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1089259 (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. Rafael Luis Fonseca allows following entities to bill medicare on his behalf.

Entity Name	Love Field Clinic Plano Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740997220 PECOS PAC ID: 9032644414 Enrollment ID: O20241121003040

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. Rafael Luis Fonseca 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
Rafael Luis Fonseca, FNP 1100 Gannon Dr, Plano, TX 75025-2921 Ph: (972) 904-0812	Rafael Luis Fonseca, FNP 2300 14th St Ste 145, Plano, TX 75074-6445 Ph: (972) 904-0812

Reviews and Comments

Nurse Practitioner Nurses in Plano, TX

Wendy Renee Foster, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1820 Preston Park Blvd, Suite 1450, Plano, TX 75093 Phone: 469-800-4540 Fax: 469-800-4541
Mrs. Cristina James, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3021 Harkness Dr, Plano, TX 75093 Phone: 214-674-0626
Melissa Coltman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4708 Alliance Blvd Ste 500, Plano, TX 75093 Phone: 972-941-3100 Fax: 844-292-1461
Mrs. Caroline Kesterson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4708 Alliance Blvd Ste 550, Plano, TX 75093 Phone: 469-800-6140
Mrs. Margie Carol Crews, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4001 W 15th St, Suite 180, Plano, TX 75093 Phone: 972-867-5300 Fax: 972-867-5301
Saeed Niyati, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Coit Rd, Suite 206, Plano, TX 75075 Phone: 972-612-4999
Ms. Tonya Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5944 W Parker Rd, Plano, TX 75093 Phone: 214-522-4640

Rafael Luis Fonseca, FNP - Medicare Nurse Practitioner in Plano, TX