Renee Gutierrez, is a medicare enrolled "Psychologist - Clinical" provider in Patton, California. Her current practice location is
3102 E Highland Ave, Patton, California. You can reach out to her office (for appointments etc.) via phone at
(909) 425-7000.
Renee Gutierrez is licensed to practice in California (license number 33768) 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 1619341849.
Healthcare Provider's Profile
| Full Name | Renee Gutierrez |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 3102 E Highland Ave, Patton, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619341849
- Provider Enumeration Date: 11/27/2015
- Last Update Date: 08/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719426055
- Enrollment ID: I20240829003665
Medical Identifiers
Medical identifiers for Renee Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619341849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 33768 (California) | Primary |
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. Renee Gutierrez 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 |
|---|
Renee Gutierrez,
3102 E Highland Ave,
Patton, CA 92369-7813
Ph: (909) 425-7000 | Renee Gutierrez,
3102 E Highland Ave,
Patton, CA 92369-7813
Ph: (909) 425-7000 |
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