Janice Manrique Bulan-bartolome, FNP in Burlingame, CA

Janice Manrique Bulan-bartolome, FNP is a medicare enrolled "Nurse Practitioner - Family" in Burlingame, California. Her current practice location is 1750 El Camino Real Ste 202, Burlingame, California. You can reach out to her office (for appointments etc.) via phone at (650) 692-9751.

Janice Manrique Bulan-bartolome is licensed to practice in California (license number NP95021485) 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 1306574090.

Contact Information

	Janice Manrique Bulan-bartolome, FNP
	1750 El Camino Real Ste 202, Burlingame, CA 94010-3214
	(650) 692-9751
	Not Available

Map and Direction

Provider's Profile

Full Name	Janice Manrique Bulan-bartolome
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1750 El Camino Real Ste 202, Burlingame, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306574090
Provider Enumeration Date: 08/10/2022
Last Update Date: 08/10/2022

Medicare PECOS Information:

PECOS PAC ID: 1456791532
Enrollment ID: I20240507000880

Medical Identifiers

Medical identifiers for Janice Manrique Bulan-bartolome such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306574090	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95021485 (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. Janice Manrique Bulan-bartolome allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Janice Manrique Bulan-bartolome 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
Janice Manrique Bulan-bartolome, FNP 118 Otay Ave, San Mateo, CA 94403-2840 Ph: (650) 759-4607	Janice Manrique Bulan-bartolome, FNP 1750 El Camino Real Ste 202, Burlingame, CA 94010-3214 Ph: (650) 692-9751

Reviews and Comments

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Nancy Thuy Bui, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-652-8350 Fax: 650-652-8352

Janice Manrique Bulan-bartolome, FNP - Medicare Nurse Practitioner in Burlingame, CA