Jeanette Baldonado Botwin, RN, MSN, CPNP in Orange, CA

Jeanette Baldonado Botwin, RN, MSN, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Orange, California. Her current practice location is 1201 W La Veta Ave, Orange, California. You can reach out to her office (for appointments etc.) via phone at (888) 770-2462.

Jeanette Baldonado Botwin is licensed to practice in California (license number 95004133) 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 1518340751.

Contact Information

	Jeanette Baldonado Botwin, RN, MSN, CPNP
	1201 W La Veta Ave, Orange, CA 92868-4203
	(888) 770-2462
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeanette Baldonado Botwin
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1201 W La Veta Ave, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518340751
Provider Enumeration Date: 07/07/2015
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 7012359201
Enrollment ID: I20240520001520

Medical Identifiers

Medical identifiers for Jeanette Baldonado Botwin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518340751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0200X	Registered Nurse - Pediatrics	6894281 (New York)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	95004133 (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. Jeanette Baldonado Botwin allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Jeanette Baldonado Botwin 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
Jeanette Baldonado Botwin, RN, MSN, CPNP 4440 Brockton Ave Ste 420, Riverside, CA 92501-4026 Ph: () -	Jeanette Baldonado Botwin, RN, MSN, CPNP 1201 W La Veta Ave, Orange, CA 92868-4203 Ph: (888) 770-2462

Reviews and Comments

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Jeanette Baldonado Botwin, RN, MSN, CPNP - Medicare Nurse Practitioner in Orange, CA