Jayne Ranee Antolin, in Cathedral City, CA - Medicare Nurse Practitioner

Jayne Ranee Antolin, is a medicare enrolled "Nurse Practitioner - Family" in Cathedral City, California. Her current practice location is 69175 Ramon Rd Bldg A, Cathedral City, California. You can reach out to her office (for appointments etc.) via phone at (760) 321-6776.

Jayne Ranee Antolin is licensed to practice in California (license number 95006784) 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 1306351689.

Contact Information

	Jayne Ranee Antolin,
	69175 Ramon Rd Bldg A, Cathedral City, CA 92234-3344
	(760) 321-6776
	Not Available

Map and Direction

Provider's Profile

Full Name	Jayne Ranee Antolin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	69175 Ramon Rd Bldg A, Cathedral City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306351689
Provider Enumeration Date: 12/07/2017
Last Update Date: 04/16/2021

Medicare PECOS Information:

PECOS PAC ID: 0547523581
Enrollment ID: I20180404002011

Medical Identifiers

Medical identifiers for Jayne Ranee Antolin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306351689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95053544 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95006784 (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. Jayne Ranee Antolin allows following entities to bill medicare on her behalf.

Entity Name	Borrego Community Health Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134144165 PECOS PAC ID: 1759299944 Enrollment ID: O20040122000961

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. Jayne Ranee Antolin 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
Jayne Ranee Antolin, 36289 Cherrywood Dr, Yucaipa, CA 92399-5730 Ph: () -	Jayne Ranee Antolin, 69175 Ramon Rd Bldg A, Cathedral City, CA 92234-3344 Ph: (760) 321-6776

Reviews and Comments

Nurse Practitioner Nurses in Cathedral City, CA

Mrs. Laurie S. Hannan-reagan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 67780 E Palm Canyon Dr, Cathedral City, CA 92234 Phone: 760-773-1680
Mrs. Monique Mester-robertson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 67780 E Palm Canyon Dr, Ste. 100, Cathedral City, CA 92234 Phone: 760-328-9312
Damiano De Sano Iocovozzi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34131 Date Palm Dr, Cathedral City, CA 92234 Phone: 760-770-4600 Fax: 760-770-1564
Emma Bermudez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 69175 Ramon Rd Bldg A, Cathedral City, CA 92234 Phone: 714-404-1007
Amir Hodge, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 68860 Perez Rd, Cathedral City, CA 92234 Phone: 760-328-4499 Fax: 760-320-2725
Kathleen D Lubanski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68860 Perez Rd, Cathedral City, CA 92234 Phone: 760-328-4499 Fax: 760-328-1050

Jayne Ranee Antolin, - Medicare Nurse Practitioner in Cathedral City, CA