Glorifino Degala Juan, in Merced, CA - Medicare Nurse Practitioner

Glorifino Degala Juan, is a medicare enrolled "Nurse Practitioner - Family" in Merced, California. His current practice location is 847 W Childs Ave Ste A, Merced, California. You can reach out to his office (for appointments etc.) via phone at (209) 384-6481.

Glorifino Degala Juan is licensed to practice in California (license number NP95027233) 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 1548997422.

Contact Information

	Glorifino Degala Juan,
	847 W Childs Ave Ste A, Merced, CA 95341-6862
	(209) 384-6481
	Not Available

Map and Direction

Provider's Profile

Full Name	Glorifino Degala Juan
Gender	Male
Speciality	Nurse Practitioner - Family
Location	847 W Childs Ave Ste A, Merced, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548997422
Provider Enumeration Date: 08/02/2022
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 0446624969
Enrollment ID: I20230324001431

Medical Identifiers

Medical identifiers for Glorifino Degala Juan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548997422	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP025962 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	NP95027233 (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. Glorifino Degala Juan allows following entities to bill medicare on his behalf.

Entity Name	Minuteclinic Video Virtual Care, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316402746 PECOS PAC ID: 0143650416 Enrollment ID: O20200429001777

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. Glorifino Degala Juan 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
Glorifino Degala Juan, 737 W Childs Ave, Merced, CA 95341-6805 Ph: (209) 384-6481	Glorifino Degala Juan, 847 W Childs Ave Ste A, Merced, CA 95341-6862 Ph: (209) 384-6481

Reviews and Comments

Nurse Practitioner Nurses in Merced, CA

Mrs. Rubirosa Cervantes Arandia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3389 G St, Merced, CA 95340 Phone: 209-384-9401
Raj Kumar Sharma, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4824 Langley Way, Merced, CA 95348 Phone: 209-724-3553
Mary Alice Hintenach, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 315 E 13th St, Merced, CA 95340 Phone: 209-385-7060 Fax: 209-385-7017
Mrs. Amanda Eliza Gibson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E 13th St, Merced, CA 95341 Phone: 209-564-4500
Ms. Gina Leisha Broussard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3349 G St Ste F, Merced, CA 95340 Phone: 209-349-8459 Fax: 209-580-4671
Deirdre Alice Mazzetto, NP, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 E 13th St, Merced, CA 95341 Phone: 209-723-2122
Miss Rashilda Ayanna Storm, MSN, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 857 W Childs Ave, Geriatrics, Merced, CA 95341 Phone: 209-385-5600 Fax: 209-385-5674

Glorifino Degala Juan, - Medicare Nurse Practitioner in Merced, CA