Vickie Marie Fachinelli Portes, RN,CNP is a medicare enrolled "Pediatrics" in Keaau, Hawaii. Her current practice location is
16-192 Pili Mua St, Keaau, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 333-3600.
Vickie Marie Fachinelli Portes is licensed to practice in Hawaii (license number APRN-2904) 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 1871759050.
Provider's Profile
Full Name | Vickie Marie Fachinelli Portes |
---|
Gender | Female |
---|
Speciality | Pediatrics |
---|
Location | 16-192 Pili Mua St, Keaau, Hawaii |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871759050
- Provider Enumeration Date: 08/06/2008
- Last Update Date: 07/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 1254499890
- Enrollment ID: I20200529000384
Medical Identifiers
Medical identifiers for Vickie Marie Fachinelli Portes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871759050 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0200X | Nurse Practitioner - Pediatrics | R1399752 (Minnesota) | Secondary |
208000000X | Pediatrics | APRN-2904 (Hawaii) | 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. Vickie Marie Fachinelli Portes allows following entities to bill medicare on her behalf.
Entity Name | Bay Clinic Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1689814022 PECOS PAC ID: 5890699037 Enrollment ID: O20031120000512 |
---|
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. Vickie Marie Fachinelli Portes 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 |
Vickie Marie Fachinelli Portes, RN,CNP 75-5751 Kuakini Hwy Ste 203, Kailua Kona, HI 96740-1753 Ph: (808) 333-3600 | Vickie Marie Fachinelli Portes, RN,CNP 16-192 Pili Mua St, Keaau, HI 96749-8134 Ph: (808) 333-3600 |
Reviews and Comments