Angelo Jovito Caezar Santos Santiago, in Irvine, CA

Angelo Jovito Caezar Santos Santiago, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Irvine, California. His current practice location is 17782 Cowan, Irvine, California. You can reach out to his office (for appointments etc.) via phone at (949) 722-7118.

Angelo Jovito Caezar Santos Santiago is licensed to practice in California (license number 95021619) 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 1356069900.

Contact Information

	Angelo Jovito Caezar Santos Santiago,
	17782 Cowan, Irvine, CA 92614-6030
	(949) 722-7118
	Not Available

Map and Direction

Provider's Profile

Full Name	Angelo Jovito Caezar Santos Santiago
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	17782 Cowan, Irvine, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356069900
Provider Enumeration Date: 08/19/2022
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 2163890914
Enrollment ID: I20221129000436

Medical Identifiers

Medical identifiers for Angelo Jovito Caezar Santos Santiago such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356069900	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95021619 (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. Angelo Jovito Caezar Santos Santiago allows following entities to bill medicare on his behalf.

Entity Name	Jason Kellogg Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235391624 PECOS PAC ID: 9032266127 Enrollment ID: O20090407000131

Entity Name	Progeny Psychiatric Clinic A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548735202 PECOS PAC ID: 4688904592 Enrollment ID: O20190919000593

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. Angelo Jovito Caezar Santos Santiago 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
Angelo Jovito Caezar Santos Santiago, 1003 Concord St, Costa Mesa, CA 92626-2807 Ph: (714) 823-0069	Angelo Jovito Caezar Santos Santiago, 17782 Cowan, Irvine, CA 92614-6030 Ph: (949) 722-7118

Reviews and Comments

Nurse Practitioner Nurses in Irvine, CA

Katherine Lin Matsumoto, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 E Yale Loop Ste 204, Irvine, CA 92604 Phone: 949-732-3530 Fax: 949-732-3533
Salma Essau Nawabi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14330 Culver Dr, Irvine, CA 92604 Phone: 949-559-8129
Mrs. Amber Hardy Rickner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 949-671-4673 Fax: 949-671-4329
Tina Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19742 Macarthur Blvd Ste 101, Irvine, CA 92612 Phone: 949-955-0202 Fax: 949-955-0203
Kelly Eguchi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17782 Cowan Ste A, Irvine, CA 92614 Phone: 949-722-7118
Alice Kwon-song, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15825 Laguna Canyon Rd Ste 104, Irvine, CA 92618 Phone: 949-585-9870
Mrs. Medjinn Thomas, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2801 Kelvin Ave Unit 381, Irvine, CA 92614 Phone: 610-568-0201

Angelo Jovito Caezar Santos Santiago, - Medicare Nurse Practitioner in Irvine, CA