Cornelio Emmanuel Bengzon Rustia, FNP - Medicare Nurse Practitioner in San Jacinto, CA

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Cornelio Emmanuel Bengzon Rustia, FNP is a medicare enrolled "Nurse Practitioner - Family" in San Jacinto, California. His current practice location is 1324 Willowstone Ct, San Jacinto, California. You can reach out to his office (for appointments etc.) via phone at (951) 665-3264.

Cornelio Emmanuel Bengzon Rustia is licensed to practice in California (license number NP95007135) 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 1033624036.

Contact Information

Cornelio Emmanuel Bengzon Rustia, FNP
1324 Willowstone Ct,
San Jacinto, CA 92582-4247
(951) 665-3264
Not Available

Map and Direction




Provider's Profile

Full NameCornelio Emmanuel Bengzon Rustia
GenderMale
SpecialityNurse Practitioner - Family
Location1324 Willowstone Ct, San Jacinto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033624036
  • Provider Enumeration Date: 12/12/2017
  • Last Update Date: 12/12/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7911910245
  • Enrollment ID: I20200414003212

Medical Identifiers

Medical identifiers for Cornelio Emmanuel Bengzon Rustia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033624036NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN534950 (California)Secondary
363LF0000XNurse Practitioner - Family NP95007135 (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. Cornelio Emmanuel Bengzon Rustia allows following entities to bill medicare on his behalf.
Entity NameCounty Of Riverside
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023122967
PECOS PAC ID: 6507754488
Enrollment ID: O20040310001107
Entity NameGirdhari S Purohit Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538368832
PECOS PAC ID: 9830088517
Enrollment ID: O20050428000912
Entity NameTri-state Community Healthcare Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922356369
PECOS PAC ID: 5597991968
Enrollment ID: O20131114000307

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. Cornelio Emmanuel Bengzon Rustia 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 AddressPractice Location Address
Cornelio Emmanuel Bengzon Rustia, FNP
1324 Willowstone Ct,
San Jacinto, CA 92582-4247

Ph: () -		Cornelio Emmanuel Bengzon Rustia, FNP
1324 Willowstone Ct,
San Jacinto, CA 92582-4247

Ph: (951) 665-3264

Reviews and Comments


Nurse Practitioner Nurses in San Jacinto, CA

Sonia Ildelisa Betancourt, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 621 N State St, San Jacinto, CA 92583
Phone: 951-285-6115    
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Jaime Zeledon, N.P.
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Practice Location: 1695 S San Jacinto Ave Ste A-cd, San Jacinto, CA 92583
Phone: 951-330-3100    Fax: 951-380-8596
Lisa Garcia, FNP
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Medicare: Medicare Enrolled
Practice Location: 1695 S San Jacinto Ave Ste A, San Jacinto, CA 92583
Phone: 951-665-1100    Fax: 951-665-1414
Ms. Martha Kim Izvernari, N.P.
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Medicare: Not Enrolled in Medicare
Practice Location: 1695 S. San Jacinto Ave, Suite L, San Jacinto, CA 92583
Phone: 951-654-8132    Fax: 951-654-8135
Michael Aquitania Agbisit, ACNPC-AG
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Medicare: Accepting Medicare Assignments
Practice Location: 448 Oriole Rd, San Jacinto, CA 92582
Phone: 951-654-8038    
Rahel Asfaw Demessie, NP
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Practice Location: 229 W 7th St, San Jacinto, CA 92583
Phone: 951-487-2550    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.