Dr Ulisses Hernandez, DO is a medicare enrolled "Family Medicine" physician in Wasco, California. His current practice location is
2101 7th St, Wasco, California. You can reach out to his office (for appointments etc.) via phone at
(866) 707-6664.
Dr Ulisses Hernandez is licensed to practice in California (license number 20A20036) 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 1669033908.
Physician's Profile
| Full Name | Dr Ulisses Hernandez |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 2101 7th St, Wasco, 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: 1669033908
- Provider Enumeration Date: 06/26/2019
- Last Update Date: 07/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224412424
- Enrollment ID: I20220907003917
Medical Identifiers
Medical identifiers for Dr Ulisses Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669033908 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | PTL1182 (California) | Secondary |
| 207Q00000X | Family Medicine | 20A20036 (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 Ulisses Hernandez allows following entities to bill medicare on his behalf.
| Entity Name | Omni Family Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700891660
PECOS PAC ID: 9234176363
Enrollment ID: O20050411000986 |
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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 Ulisses Hernandez 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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Dr Ulisses Hernandez, DO
211 W 49th St,
Los Angeles, CA 90037-3203
Ph: (323) 384-4990 | Dr Ulisses Hernandez, DO
2101 7th St,
Wasco, CA 93280-1502
Ph: (866) 707-6664 |
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