Alfredo Manuel Portillo, AG-ACNP in Apple Valley, CA

Alfredo Manuel Portillo, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Apple Valley, California. His current practice location is 18300 Ca-18, Apple Valley, California. You can reach out to his office (for appointments etc.) via phone at (760) 242-2311.

Alfredo Manuel Portillo is licensed to practice in California (license number 95026013) 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 1639852635.

Contact Information

	Alfredo Manuel Portillo, AG-ACNP
	18300 Ca-18, Apple Valley, CA 92307
	(760) 242-2311
	Not Available

Map and Direction

Provider's Profile

Full Name	Alfredo Manuel Portillo
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	18300 Ca-18, Apple Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639852635
Provider Enumeration Date: 08/08/2023
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 4183087513
Enrollment ID: I20230831002966

Medical Identifiers

Medical identifiers for Alfredo Manuel Portillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639852635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95026013 (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. Alfredo Manuel Portillo allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Alfredo Manuel Portillo 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
Alfredo Manuel Portillo, AG-ACNP 18310 Ca-18, Suite B, Apple Valley, CA 92307 Ph: (760) 998-2312	Alfredo Manuel Portillo, AG-ACNP 18300 Ca-18, Apple Valley, CA 92307 Ph: (760) 242-2311

Reviews and Comments

Nurse Practitioner Nurses in Apple Valley, CA

Brenda Ann Marin, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18031 Us Highway 18 Ste C, Apple Valley, CA 92307 Phone: 760-810-7631
Ms. Ashley Alicia Dorn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16133 Kamana Rd, Apple Valley, CA 92307 Phone: 661-435-9822
Blanca De Jesus Serrano, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307 Phone: 760-242-7777
Katherine H Shields, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19333 Bear Valley Rd, Apple Valley, CA 92308 Phone: 760-956-8700
Mrs. Phyllis Patricia Salkey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18270 Siskiyou Rd Ste B, Apple Valley, CA 92307 Phone: 760-949-4118
Mrs. Michelle Downie, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18112 Us Highway 18, Suite 102, Apple Valley, CA 92307 Phone: 760-810-7778
Mrs. Yolanda M Burnett-battle, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19333 Bear Valley Rd, Suite 201, Apple Valley, CA 92308 Phone: 760-956-8700 Fax: 760-956-8705

Alfredo Manuel Portillo, AG-ACNP - Medicare Nurse Practitioner in Apple Valley, CA