Stephanie Victoria Bravo, NP in Victorville, CA

Stephanie Victoria Bravo, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Victorville, California. Her current practice location is 16850 Bear Valley Rd, Victorville, California. You can reach out to her office (for appointments etc.) via phone at (760) 241-8000.

Stephanie Victoria Bravo is licensed to practice in California (license number 95013811) 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 1801428107.

Contact Information

	Stephanie Victoria Bravo, NP
	16850 Bear Valley Rd, Victorville, CA 92395-5794
	(760) 241-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Victoria Bravo
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	16850 Bear Valley Rd, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801428107
Provider Enumeration Date: 02/05/2020
Last Update Date: 08/12/2022

Medicare PECOS Information:

PECOS PAC ID: 5395164602
Enrollment ID: I20201005002900

Medical Identifiers

Medical identifiers for Stephanie Victoria Bravo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801428107	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95013811 (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. Stephanie Victoria Bravo allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	Physicians And Surgeons Home Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184105231 PECOS PAC ID: 6305181686 Enrollment ID: O20181213002651

Entity Name	Roshan T Melvani Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982215992 PECOS PAC ID: 0244632099 Enrollment ID: O20210715002836

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. Stephanie Victoria Bravo 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
Stephanie Victoria Bravo, NP 7832 Langdon Ave, Hesperia, CA 92345-7311 Ph: (760) 475-2972	Stephanie Victoria Bravo, NP 16850 Bear Valley Rd, Victorville, CA 92395-5794 Ph: (760) 241-8000

Reviews and Comments

Nurse Practitioner Nurses in Victorville, CA

Bukola Gross, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13010 Hesperia Rd Ste 501, Victorville, CA 92395 Phone: 760-881-3717
Jessica C Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-241-0393
Mrs. Shawntel Logan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12760 Hesperia Rd Ste C, Victorville, CA 92395 Phone: 760-338-0911
Krystle Ann Frazier, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000
Noarie Iverie Magoun, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12677 Hesperia Rd Ste 130, Victorville, CA 92395 Phone: 760-241-7763 Fax: 760-241-6383
Jose Manuel Ortega, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000
Cindy Alvarez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11857 Elliot Way, Victorville, CA 92392 Phone: 818-400-5438

Stephanie Victoria Bravo, NP - Medicare Nurse Practitioner in Victorville, CA