Juan Fidel Penaloza Pacheco, MD is a medicare enrolled "Hospitalist" physician in Mather, California. His current practice location is
10535 Hospital Way, Mather, California. You can reach out to his office (for appointments etc.) via phone at
(916) 734-7058.
Juan Fidel Penaloza Pacheco is licensed to practice in California (license number A178289) 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 1851928121.
Physician's Profile
Full Name | Juan Fidel Penaloza Pacheco |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 10535 Hospital Way, Mather, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851928121
- Provider Enumeration Date: 03/25/2020
- Last Update Date: 07/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638573637
- Enrollment ID: I20210813000315
Medical Identifiers
Medical identifiers for Juan Fidel Penaloza Pacheco such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851928121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | A178289 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | A178289 (California) | Secondary |
208M00000X | Hospitalist | A178289 (California) | Primary |
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. Juan Fidel Penaloza Pacheco 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 |
Juan Fidel Penaloza Pacheco, MD 10535 Hospital Way, Mather, CA 95655-4200 Ph: (916) 734-7058 | Juan Fidel Penaloza Pacheco, MD 10535 Hospital Way, Mather, CA 95655-4200 Ph: (916) 734-7058 |
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