Antonio Moreno, - Medicare Certified Registered Nurse Anesthetist (crna) in San Bernardino, CA

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Antonio Moreno, is a medicare enrolled "Anesthesiology" physician in San Bernardino, California. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Faculty Physicians And Surgeons Of Llusm, San Gabriel Anesthesia Associates, Pc and his current practice location is 2101 N Waterman Ave, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 883-8711.

Antonio Moreno is licensed to practice in California (license number 95001104) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154984706.

Contact Information

Antonio Moreno,
2101 N Waterman Ave,
San Bernardino, CA 92404-4836
(909) 883-8711
Not Available

Map and Direction




Physician's Profile

Full NameAntonio Moreno
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location2101 N Waterman Ave, San Bernardino, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Antonio Moreno graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1154984706
  • Provider Enumeration Date: 04/18/2019
  • Last Update Date: 10/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9638504400
  • Enrollment ID: I20200124001482

Medical Identifiers

Medical identifiers for Antonio Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154984706NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 95001104 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Loma Linda University Medical CenterLoma linda, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Faculty Physicians And Surgeons Of Llusm11532278141065
San Gabriel Anesthesia Associates, Pc367872060412

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. Antonio Moreno allows following entities to bill medicare on his behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NamePalm Springs Anesthesia Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083928501
PECOS PAC ID: 6406049592
Enrollment ID: O20101021000600
Entity NamePrimary Anesthesia Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598053795
PECOS PAC ID: 8921272329
Enrollment ID: O20111121000946
Entity NameSan Gabriel Anesthesia Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538424908
PECOS PAC ID: 3678720604
Enrollment ID: O20120828000023

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. Antonio Moreno 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 AddressPractice Location Address
Antonio Moreno,
25590 Prospect Ave Apt 25h,
Loma Linda, CA 92354-3149

Ph: (323) 440-1388		Antonio Moreno,
2101 N Waterman Ave,
San Bernardino, CA 92404-4836

Ph: (909) 883-8711

Reviews and Comments


Anesthesiology Doctors in San Bernardino, CA

Dr. Sakorn Koonopakarn, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404
Phone: 800-883-7243    
Dr. Samuel J Roth, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404
Phone: 909-883-8711    
Dr. Benjamin Franklin Davis, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404
Phone: 800-883-7243    
Dr. Roman Trochanowski, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404
Phone: 909-883-8711    
Smita Jayprakash Shah, M.D.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1805 Medical Center Dr, San Bernardino, CA 92411
Phone: 909-887-6333    Fax: 909-887-9565
Dr. Mrunal Bhatt, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404
Phone: 800-883-7243    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.