Bukola Gross, in Victorville, CA - Medicare Nurse Practitioner

Bukola Gross, is a medicare enrolled "Nurse Practitioner - Family" in Victorville, California. Her current practice location is 13010 Hesperia Rd Ste 501, Victorville, California. You can reach out to her office (for appointments etc.) via phone at (760) 881-3717.

Bukola Gross is licensed to practice in California (license number NP95001547) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003211566.

Contact Information

	Bukola Gross,
	13010 Hesperia Rd Ste 501, Victorville, CA 92395-8315
	(760) 881-3717
	Not Available

Map and Direction

Provider's Profile

Full Name	Bukola Gross
Gender	Female
Speciality	Nurse Practitioner - Family
Location	13010 Hesperia Rd Ste 501, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003211566
Provider Enumeration Date: 10/27/2014
Last Update Date: 11/07/2022

Medicare PECOS Information:

PECOS PAC ID: 4981905494
Enrollment ID: I20151228001880

Medical Identifiers

Medical identifiers for Bukola Gross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003211566	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95001547 (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. Bukola Gross allows following entities to bill medicare on her behalf.

Entity Name	Corwin Medical Group Inc Ipa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821018433 PECOS PAC ID: 4688623200 Enrollment ID: O20050120000529

Entity Name	Choice Healthcare Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194964361 PECOS PAC ID: 3678759206 Enrollment ID: O20110517000271

Entity Name	Caremd, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740588391 PECOS PAC ID: 9133390297 Enrollment ID: O20240521000226

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. Bukola Gross 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
Bukola Gross, 19111 Town Center Dr, Apple Valley, CA 92308-8989 Ph: (760) 242-7777	Bukola Gross, 13010 Hesperia Rd Ste 501, Victorville, CA 92395-8315 Ph: (760) 881-3717

Reviews and Comments

Nurse Practitioner Nurses in Victorville, CA

Jessica C Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-241-0393
Mrs. Shawntel Logan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12760 Hesperia Rd Ste C, Victorville, CA 92395 Phone: 760-338-0911
Krystle Ann Frazier, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000
Noarie Iverie Magoun, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12677 Hesperia Rd Ste 130, Victorville, CA 92395 Phone: 760-241-7763 Fax: 760-241-6383
Jose Manuel Ortega, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000
Cindy Alvarez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11857 Elliot Way, Victorville, CA 92392 Phone: 818-400-5438

Bukola Gross, - Medicare Nurse Practitioner in Victorville, CA