Dominador Peralta Mansat Jr, FNP-C - Medicare Nurse Practitioner in Ontario, CA

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Dominador Peralta Mansat Jr, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Ontario, California. His current practice location is 1910 S Archibald Ave Ste D, Ontario, California. You can reach out to his office (for appointments etc.) via phone at (909) 348-2556.

Dominador Peralta Mansat Jr is licensed to practice in California (license number 95022872) 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 1700500600.

Contact Information

Dominador Peralta Mansat Jr, FNP-C
1910 S Archibald Ave Ste D,
Ontario, CA 91761-8503
(909) 348-2556
(877) 615-1555

Map and Direction




Provider's Profile

Full NameDominador Peralta Mansat Jr
GenderMale
SpecialityNurse Practitioner - Family
Location1910 S Archibald Ave Ste D, Ontario, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700500600
  • Provider Enumeration Date: 10/04/2022
  • Last Update Date: 10/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426424524
  • Enrollment ID: I20221024001380

Medical Identifiers

Medical identifiers for Dominador Peralta Mansat Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700500600NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95022872 (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. Dominador Peralta Mansat Jr allows following entities to bill medicare on his behalf.
Entity NameAarb Medical & Healthcare Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952023897
PECOS PAC ID: 6709252802
Enrollment ID: O20221014000316

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. Dominador Peralta Mansat Jr 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
Dominador Peralta Mansat Jr, FNP-C
9415 Retreat Pl,
Rancho Cucamonga, CA 91730-9200

Ph: (909) 348-3067		Dominador Peralta Mansat Jr, FNP-C
1910 S Archibald Ave Ste D,
Ontario, CA 91761-8503

Ph: (909) 348-2556

Reviews and Comments


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Marialuisa Garcia, MSN, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1151 E Walnut St, Ontario, CA 91761
Phone: 909-467-1425    Fax: 909-773-0266

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.