Ecler Ercole Jaqua, MD in Loma Linda, CA - Medicare Geriatric Medicine

Ecler Ercole Jaqua, MD is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Loma Linda, California. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Geriatric Medicine. She is a member of the group practice Faculty Physicians And Surgeons Of Llusm, Sac Health System and her current practice location is 25455 Barton Rd Ste 204b, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-6600.

Ecler Ercole Jaqua is licensed to practice in California (license number A143997) 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 1003235235.

Contact Information

	Ecler Ercole Jaqua, MD
	25455 Barton Rd Ste 204b, Loma Linda, CA 92354-3130
	(909) 558-6600
	Not Available

Map and Direction

Physician's Profile

Full Name	Ecler Ercole Jaqua
Gender	Female
Speciality	Geriatric Medicine
Experience	18 Years
Location	25455 Barton Rd Ste 204b, Loma Linda, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ecler Ercole Jaqua graduated from medical school in 2006

NPI Data:

NPI Number: 1003235235
Provider Enumeration Date: 04/15/2014
Last Update Date: 12/16/2022

Medicare PECOS Information:

PECOS PAC ID: 8628357639
Enrollment ID: I20180622002740

Medical Identifiers

Medical identifiers for Ecler Ercole Jaqua such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003235235	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A143997 (California)	Secondary
207QG0300X	Family Medicine - Geriatric Medicine	A143997 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Loma Linda University Medical Center	Loma linda, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Faculty Physicians And Surgeons Of Llusm	1153227814	1065
Sac Health System	4385533579	169

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. Ecler Ercole Jaqua allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Sac Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608

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. Ecler Ercole Jaqua 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
Ecler Ercole Jaqua, MD File # 54701, Los Angeles, CA 90074-4701 Ph: (909) 558-6600	Ecler Ercole Jaqua, MD 25455 Barton Rd Ste 204b, Loma Linda, CA 92354-3130 Ph: (909) 558-6600

Reviews and Comments

Family Medicine Doctors in Loma Linda, CA

Mark S Sutton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354 Phone: 909-558-6600
Lauren Simon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354 Phone: 909-558-6600
Barbara Orr, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25455 Barton Rd, Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600
Victoria V Teppone, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Loma Linda, CA 92354 Phone: 909-558-6600
Dr. Prashanth Gowda, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Va Loma Linda Health Care System, 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Dr. Roger D. Woodruff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd Ste 206a, Loma Linda, CA 92354 Phone: 909-558-6505 Fax: 909-558-6701

Ecler Ercole Jaqua, MD - Medicare Geriatric Medicine in Loma Linda, CA