John Patrick Canlas, RDN is a medicare enrolled "Dietitian, Registered" provider in Bay Point, California. His current practice location is
23 Steele Ct, Bay Point, California. You can reach out to his office (for appointments etc.) via phone at
(909) 362-9434.
John Patrick Canlas is licensed to practice in California (license number 1065170) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639760762.
Healthcare Provider's Profile
| Full Name | John Patrick Canlas |
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| Gender | Male |
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| Speciality | Dietitian, Registered |
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| Location | 23 Steele Ct, Bay Point, 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: 1639760762
- Provider Enumeration Date: 02/01/2021
- Last Update Date: 08/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 9638560055
- Enrollment ID: I20211220000849
Medical Identifiers
Medical identifiers for John Patrick Canlas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639760762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 1065170 (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. John Patrick Canlas allows following entities to bill medicare on his behalf.
| Provider Name | John Canlas Nutrition Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356012678
PECOS PAC ID: 8729479142
Enrollment ID: O20211220000742 |
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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. John Patrick Canlas 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 |
|---|
John Patrick Canlas, RDN
1647 Willow Pass Rd # 337,
Concord, CA 94520-2611
Ph: (909) 362-9434 | John Patrick Canlas, RDN
23 Steele Ct,
Bay Point, CA 94565-1564
Ph: (909) 362-9434 |
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