Theresa Davis-bates, FNP in Upland, CA - Medicare Nurse Practitioner

Theresa Davis-bates, FNP is a medicare enrolled "Nurse Practitioner" in Upland, California. Her current practice location is 141 W Foothill Blvd, Upland, California. You can reach out to her office (for appointments etc.) via phone at (562) 367-6151.

Theresa Davis-bates is licensed to practice in California (license number 95006327) 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 1104367135.

Contact Information

	Theresa Davis-bates, FNP
	141 W Foothill Blvd, Upland, CA 91786-8705
	(562) 367-6151
	Not Available

Map and Direction

Provider's Profile

Full Name	Theresa Davis-bates
Gender	Female
Speciality	Nurse Practitioner
Location	141 W Foothill Blvd, Upland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104367135
Provider Enumeration Date: 03/09/2017
Last Update Date: 08/26/2019

Medicare PECOS Information:

PECOS PAC ID: 6204108970
Enrollment ID: I20210419002097

Medical Identifiers

Medical identifiers for Theresa Davis-bates such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104367135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95006327 (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. Theresa Davis-bates allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Caremore Health Medical Partners West, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073110607 PECOS PAC ID: 8921419813 Enrollment ID: O20201125000882

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. Theresa Davis-bates 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
Theresa Davis-bates, FNP 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 Ph: (562) 977-4674	Theresa Davis-bates, FNP 141 W Foothill Blvd, Upland, CA 91786-8705 Ph: (562) 367-6151

Reviews and Comments

Nurse Practitioner Nurses in Upland, CA

Stephanie J Rasmussen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811
Yusleydys Panade Roman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1020 W 16th St, Upland, CA 91784 Phone: 626-642-6977
Madonna Zand, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1310 San Bernardino Rd, 205, Upland, CA 91786 Phone: 909-981-9991
Michelle Jessica Carhill, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 585 N Mountain Ave, Upland, CA 91786 Phone: 909-608-7546
Bernice Tan, DNP NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 N 13th Ave Ste 204, Upland, CA 91786 Phone: 909-920-0525
Dani Achi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1655 N Mountain Ave Ste 113, Upland, CA 91784 Phone: 909-377-0030
Mrs. Mina Grasso, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1113 Alta Ave Ste 210, Upland, Upland, CA 91786 Phone: 909-982-1074 Fax: 909-982-3104

Theresa Davis-bates, FNP - Medicare Nurse Practitioner in Upland, CA