Cherilou Cruz Concepcion, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Ontario, California. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Dermbar A Physician Assistant Co and her current practice location is
3333 Concours St, Building 1, Suite 1201, Ontario, California. You can reach out to her office (for appointments etc.) via phone at
(909) 476-4077.
Cherilou Cruz Concepcion is licensed to practice in California (license number 95014780) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679191951.
Physician's Profile
| Full Name | Cherilou Cruz Concepcion |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 3333 Concours St, Ontario, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Cherilou Cruz Concepcion graduated from medical school in 2020
NPI Data:
- NPI Number: 1679191951
- Provider Enumeration Date: 07/13/2020
- Last Update Date: 11/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709202195
- Enrollment ID: I20200817000633
Medical Identifiers
Medical identifiers for Cherilou Cruz Concepcion such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679191951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 95014780 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95014780 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Dermbar A Physician Assistant Co | 0547615056 | 2 |
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. Cherilou Cruz Concepcion allows following entities to bill medicare on her behalf.
| Entity Name | Pacific Dermatology Institute |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740410182
PECOS PAC ID: 2062546260
Enrollment ID: O20100810000288 |
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| Entity Name | The Dermbar A Physician Assistant Co |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821773045
PECOS PAC ID: 0547615056
Enrollment ID: O20231018000560 |
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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. Cherilou Cruz Concepcion 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 |
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Cherilou Cruz Concepcion, NP
3333 Concours St, Building 1, Suite 1201,
Ontario, CA 91764-6806
Ph: (909) 476-4077 | Cherilou Cruz Concepcion, NP
3333 Concours St, Building 1, Suite 1201,
Ontario, CA 91764-9176
Ph: (909) 476-4077 |
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