Rafael Roman Teran, FNP - Medicare Nurse Practitioner in Fresno, CA

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Rafael Roman Teran, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fresno, California. His current practice location is 2576 S Duke Ave, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 123-4567.

Rafael Roman Teran is licensed to practice in California (license number NP20891) 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 1487939989.

Contact Information

Rafael Roman Teran, FNP
2576 S Duke Ave,
Fresno, CA 93727-8831
(559) 123-4567
Not Available

Map and Direction




Provider's Profile

Full NameRafael Roman Teran
GenderMale
SpecialityNurse Practitioner - Family
Location2576 S Duke Ave, Fresno, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487939989
  • Provider Enumeration Date: 10/15/2011
  • Last Update Date: 02/26/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6800050345
  • Enrollment ID: I20120612000552

Medical Identifiers

Medical identifiers for Rafael Roman Teran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487939989NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice 20891 (California)Secondary
364SF0001XClinical Nurse Specialist - Family Health 20891 (California)Secondary
363LF0000XNurse Practitioner - Family NP20891 (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. Rafael Roman Teran allows following entities to bill medicare on his behalf.
Entity NameLong Term Care Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356479877
PECOS PAC ID: 9032016068
Enrollment ID: O20031217000464
Entity NameCounty Of Fresno
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770538001
PECOS PAC ID: 4981591690
Enrollment ID: O20040227000935
Entity NameLags Recovery Centers, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033665526
PECOS PAC ID: 2365844206
Enrollment ID: O20220707001799

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 Roman Teran 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 AddressPractice Location Address
Rafael Roman Teran, FNP
2576 S Duke Ave,
Fresno, CA 93727-8831

Ph: () -		Rafael Roman Teran, FNP
2576 S Duke Ave,
Fresno, CA 93727-8831

Ph: (559) 123-4567

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.