Dr Jhon M Nogales Pimienta, MD in Lafayette, IN - Medicare Student in an Organized Health Care Education/Training Program

Dr Jhon M Nogales Pimienta, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Lafayette, Indiana. His current practice location is 5165 Mccarty Ln, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 838-7101.

Dr Jhon M Nogales Pimienta is licensed to practice in * (Not Available) (license number ) 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 1114583762.

Contact Information

	Dr Jhon M Nogales Pimienta, MD
	5165 Mccarty Ln, Lafayette, IN 47905-8764
	(765) 838-7101
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jhon M Nogales Pimienta
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	5165 Mccarty Ln, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114583762
Provider Enumeration Date: 05/18/2019
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 2365776101
Enrollment ID: I20220905000296

Medical Identifiers

Medical identifiers for Dr Jhon M Nogales Pimienta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114583762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	0101275350 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Dr Jhon M Nogales Pimienta allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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. Dr Jhon M Nogales Pimienta 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
Dr Jhon M Nogales Pimienta, MD 5165 Mccarty Ln, Lafayette, IN 47905-8764 Ph: (765) 838-7101	Dr Jhon M Nogales Pimienta, MD 5165 Mccarty Ln, Lafayette, IN 47905-8764 Ph: (765) 838-7101

Dr Jhon M Nogales Pimienta, MD - Medicare Student in an Organized Health Care Education/Training Program in Lafayette, IN