Dr John Mardones, MD is a medicare enrolled "Emergency Medicine" physician in Indio, California. His current practice location is
47111 Monroe St, Po Drawer Llll, Indio, California. You can reach out to his office (for appointments etc.) via phone at
(760) 347-6191.
Dr John Mardones is licensed to practice in California (license number A41581) 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 1669408522.
Physician's Profile
| Full Name | Dr John Mardones |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 47111 Monroe St, Indio, 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: 1669408522
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 08/26/2009
Medicare PECOS Information:
- PECOS PAC ID: 2163582677
- Enrollment ID: I20081113000383
Medical Identifiers
Medical identifiers for Dr John Mardones such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669408522 | NPI | - | NPPES |
| A41581 | Other | | RIVERSIDE CO EMS |
| 00A415810 | Medicaid | CA | |
| A41581 | Other | | BLUE CROSS |
| 00A415810 | Other | | BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | A41581 (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. Dr John Mardones allows following entities to bill medicare on his behalf.
| Entity Name | Adventist Health Medical Center Tehachapi |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275538530
PECOS PAC ID: 1456646629
Enrollment ID: O20170124000729 |
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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. Dr John Mardones 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 John Mardones, MD
Po Box 2993,
Indio, CA 92202-2993
Ph: (800) 819-2392 | Dr John Mardones, MD
47111 Monroe St, Po Drawer Llll,
Indio, CA 92201-6739
Ph: (760) 347-6191 |
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