Ivan L Ventura, PA-C is a medicare enrolled "Clinical Nurse Specialist - Emergency" in Merced, California. His current practice location is
301 E 13th St, Merced, California. You can reach out to his office (for appointments etc.) via phone at
(209) 385-7201.
Ivan L Ventura is licensed to practice in California (license number PA17129) 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 1295706661.
Provider's Profile
| Full Name | Ivan L Ventura |
|---|
| Gender | Male |
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| Speciality | Clinical Nurse Specialist - Emergency |
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| Location | 301 E 13th St, Merced, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295706661
- Provider Enumeration Date: 02/01/2006
- Last Update Date: 04/28/2009
Medicare PECOS Information:
- PECOS PAC ID: 3476519158
- Enrollment ID: I20041203000963
Medical Identifiers
Medical identifiers for Ivan L Ventura such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295706661 | NPI | - | NPPES |
| 1295706661 | Medicaid | CA | |
| PA17129 | Medicaid | CA | |
| 0PA171290 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SE0003X | Clinical Nurse Specialist - Emergency | PA17129 (California) | Primary |
| 363A00000X | Physician Assistant | PA17129 (California) | Secondary |
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. Ivan L Ventura 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 |
|---|
Ivan L Ventura, PA-C
2838 Marie Ln,
Merced, CA 95340-2611
Ph: (209) 725-1229 | Ivan L Ventura, PA-C
301 E 13th St,
Merced, CA 95340-6211
Ph: (209) 385-7201 |
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