Mr Ronald Mar Tenorio Atillo, AG-ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" physician in San Diego, California. His current practice location is
200 W Arbor Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at
(800) 926-8273.
Mr Ronald Mar Tenorio Atillo is licensed to practice in California (license number 95008863) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346747391.
Physician's Profile
Full Name | Mr Ronald Mar Tenorio Atillo |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 200 W Arbor Dr, San Diego, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Ronald Mar Tenorio Atillo attended and graduated from in
NPI Data:
- NPI Number: 1346747391
- Provider Enumeration Date: 04/06/2018
- Last Update Date: 05/31/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Ronald Mar Tenorio Atillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346747391 | NPI | - | NPPES |
2000070078 | Other | CA | AMERICAN ASSOCIATION OF CRITICAL CARE NURSES |
768953 | Other | CA | BOARD OF NURSING |
95008863 | Other | CA | CALIFORNIA BOARD OF NURSING |
95008863 | Other | CA | FURNISHING NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RN0300X | Internal Medicine - Nephrology | 95008863 (California) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 95008863 (California) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 95008863 (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. Mr Ronald Mar Tenorio Atillo 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 |
Mr Ronald Mar Tenorio Atillo, AG-ACNP-BC 611 Paradise Way, National City, CA 91950-3060 Ph: (747) 257-9053 | Mr Ronald Mar Tenorio Atillo, AG-ACNP-BC 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273 |
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