Rebecca Prakash, CRNP in San Diego, CA - Medicare Nurse Practitioner

Rebecca Prakash, CRNP is a medicare enrolled "Nurse Practitioner" in San Diego, California. Her current practice location is 5717 Pacific Center Blvd Ste 200, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 859-1188.

Rebecca Prakash is licensed to practice in California (license number 95008207) 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 1164963716.

Contact Information

	Rebecca Prakash, CRNP
	5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250
	(858) 859-1188
	Not Available

Map and Direction

Provider's Profile

Full Name	Rebecca Prakash
Gender	Female
Speciality	Nurse Practitioner
Location	5717 Pacific Center Blvd Ste 200, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164963716
Provider Enumeration Date: 03/15/2017
Last Update Date: 05/11/2021

Medicare PECOS Information:

PECOS PAC ID: 2062781586
Enrollment ID: I20170627000495

Medical Identifiers

Medical identifiers for Rebecca Prakash such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164963716	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R215956 (Maryland)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	95008207 (California)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	95008207 (California)	Secondary
363L00000X	Nurse Practitioner	95008207 (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. Rebecca Prakash allows following entities to bill medicare on her behalf.

Entity Name	Center For Pain Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962463265 PECOS PAC ID: 0547246555 Enrollment ID: O20040629000496

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. Rebecca Prakash 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
Rebecca Prakash, CRNP 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 Ph: (858) 859-1188	Rebecca Prakash, CRNP 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 Ph: (858) 859-1188

Reviews and Comments

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Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Rebecca Prakash, CRNP - Medicare Nurse Practitioner in San Diego, CA