Gilbert Agyemang-boakye, in Yucaipa, CA - Medicare Nurse Practitioner

Gilbert Agyemang-boakye, is a medicare enrolled "Nurse Practitioner - Family" in Yucaipa, California. His current practice location is 11711 Sand Canyon Rd, Yucaipa, California. You can reach out to his office (for appointments etc.) via phone at (909) 389-3272.

Gilbert Agyemang-boakye is licensed to practice in California (license number 95004250) 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 1407385149.

Contact Information

	Gilbert Agyemang-boakye,
	11711 Sand Canyon Rd, Yucaipa, CA 92399-1742
	(909) 389-3272
	Not Available

Map and Direction

Provider's Profile

Full Name	Gilbert Agyemang-boakye
Gender	Male
Speciality	Nurse Practitioner - Family
Location	11711 Sand Canyon Rd, Yucaipa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407385149
Provider Enumeration Date: 06/07/2017
Last Update Date: 04/16/2024

Medicare PECOS Information:

PECOS PAC ID: 3476993080
Enrollment ID: I20240430002336

Medical Identifiers

Medical identifiers for Gilbert Agyemang-boakye such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407385149	NPI	-	NPPES
95004250	Other	CA	BRN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95004250 (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. Gilbert Agyemang-boakye allows following entities to bill medicare on his behalf.

Entity Name	J&p Spine Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164980744 PECOS PAC ID: 1850632670 Enrollment ID: O20190404000979

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. Gilbert Agyemang-boakye 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
Gilbert Agyemang-boakye, 25590 Prospect Ave Apt 42f, Loma Linda, CA 92354-3155 Ph: (951) 534-7114	Gilbert Agyemang-boakye, 11711 Sand Canyon Rd, Yucaipa, CA 92399-1742 Ph: (909) 389-3272

Reviews and Comments

Nurse Practitioner Nurses in Yucaipa, CA

Suzanne Charlotte Moore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Mrs. Grace Enu Clerk, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 35237 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-790-6200 Fax: 909-790-6220
Mi La Kim, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Carrie D Parrish, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Alaina Marie Helt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11985 4th St Ste 102, Yucaipa, CA 92399 Phone: 909-747-8416
Lisa Wong-soqui, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747

Gilbert Agyemang-boakye, - Medicare Nurse Practitioner in Yucaipa, CA