Jacqueline M Hoogervorst, AG-ACNP in Moreno Valley, CA

Jacqueline M Hoogervorst, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Moreno Valley, California. Her current practice location is 26520 Cactus Ave, Moreno Valley, California. You can reach out to her office (for appointments etc.) via phone at (951) 486-4000.

Jacqueline M Hoogervorst is licensed to practice in California (license number 95024083) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699481887.

Contact Information

	Jacqueline M Hoogervorst, AG-ACNP
	26520 Cactus Ave, Moreno Valley, CA 92555-3927
	(951) 486-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline M Hoogervorst
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	26520 Cactus Ave, Moreno Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699481887
Provider Enumeration Date: 01/30/2023
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 1759748478
Enrollment ID: I20230612000186

Medical Identifiers

Medical identifiers for Jacqueline M Hoogervorst such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699481887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	784279 (California)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	95024083 (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. Jacqueline M Hoogervorst allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

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. Jacqueline M Hoogervorst 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
Jacqueline M Hoogervorst, AG-ACNP 33034 Clairette Ct, Winchester, CA 92596-4523 Ph: () -	Jacqueline M Hoogervorst, AG-ACNP 26520 Cactus Ave, Moreno Valley, CA 92555-3927 Ph: (951) 486-4000

Reviews and Comments

Nurse Practitioner Nurses in Moreno Valley, CA

Lajean Avon Forbes, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12712 Heacock St, Suite 7, Moreno Valley, CA 92553 Phone: 951-924-6824 Fax: 951-601-9302
Susan Launa Weeks, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5162 Fax: 818-843-5224
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Holly Vanderhyde, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12364 Perris Blvd, Moreno Valley, CA 92557 Phone: 605-209-6421
Mrs. Vanessa Renee Smith Constantino, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25970 Iris Ave Ste 3b, Moreno Valley, CA 92551 Phone: 951-924-2775
Lloydette H Brewah, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14934 Tarragon Way, Moreno Valley, CA 92553 Phone: 951-269-0542

Jacqueline M Hoogervorst, AG-ACNP - Medicare Nurse Practitioner in Moreno Valley, CA