Darrell Vincecruz Deguzman, PMHNP, FNP in Chula Vista, CA

Darrell Vincecruz Deguzman, PMHNP, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chula Vista, California. His current practice location is 1061 Tierra Del Rey Ste 200, Chula Vista, California. You can reach out to his office (for appointments etc.) via phone at (619) 498-5454.

Darrell Vincecruz Deguzman is licensed to practice in California (license number NP95008025) 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 1245709112.

Contact Information

	Darrell Vincecruz Deguzman, PMHNP, FNP
	1061 Tierra Del Rey Ste 200, Chula Vista, CA 91910
	(619) 498-5454
	(619) 528-4625

Map and Direction

Provider's Profile

Full Name	Darrell Vincecruz Deguzman
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1061 Tierra Del Rey Ste 200, Chula Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245709112
Provider Enumeration Date: 11/20/2018
Last Update Date: 05/13/2021

Medicare PECOS Information:

PECOS PAC ID: 8426390477
Enrollment ID: I20190424000202

Medical Identifiers

Medical identifiers for Darrell Vincecruz Deguzman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245709112	NPI	-	NPPES
W416	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95008025 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP95008025 (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. Darrell Vincecruz Deguzman allows following entities to bill medicare on his behalf.

Entity Name	Psychiatric Centers At San Diego, Inc. Med Grp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841241585 PECOS PAC ID: 0143201087 Enrollment ID: O20040526001651

Entity Name	Emergency And Acute Care Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734

Entity Name	Harbor Psychiatry & Mental Health Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780050054 PECOS PAC ID: 8729394572 Enrollment ID: O20150825004062

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. Darrell Vincecruz Deguzman 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
Darrell Vincecruz Deguzman, PMHNP, FNP Po Box 609001, San Diego, CA 92160-9001 Ph: (619) 528-4600	Darrell Vincecruz Deguzman, PMHNP, FNP 1061 Tierra Del Rey Ste 200, Chula Vista, CA 91910 Ph: (619) 498-5454

Reviews and Comments

Nurse Practitioner Nurses in Chula Vista, CA

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Sarah Ju Young Keum, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 4th Ave Ste 311, Chula Vista, CA 91910 Phone: 619-371-9156
Genevieve Della Rosa Deutsch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 765 Medical Center Ct Ste 209, Chula Vista, CA 91911 Phone: 619-427-8892 Fax: 619-422-7660

Darrell Vincecruz Deguzman, PMHNP, FNP - Medicare Nurse Practitioner in Chula Vista, CA