Jennifer Renzas, in San Diego, CA - Medicare Nurse Practitioner

Jennifer Renzas, is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. Her current practice location is 4060 Fairmount Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 255-9155.

Jennifer Renzas is licensed to practice in California (license number NP95016776) 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 1225512759.

Contact Information

	Jennifer Renzas,
	4060 Fairmount Ave, San Diego, CA 92105-1608
	(619) 255-9155
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Renzas
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4060 Fairmount Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225512759
Provider Enumeration Date: 09/20/2018
Last Update Date: 09/13/2021

Medicare PECOS Information:

PECOS PAC ID: 2668725961
Enrollment ID: I20181105000316

Medical Identifiers

Medical identifiers for Jennifer Renzas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225512759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209018207 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	NP95016776 (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. Jennifer Renzas allows following entities to bill medicare on her behalf.

Entity Name	Humboldt Park Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740417153 PECOS PAC ID: 8921907072 Enrollment ID: O20040107000704

Entity Name	Vitae Health Of Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838

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. Jennifer Renzas 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
Jennifer Renzas, 6300 N California Ave, Chicago, IL 60659-1702 Ph: () -	Jennifer Renzas, 4060 Fairmount Ave, San Diego, CA 92105-1608 Ph: (619) 255-9155

Reviews and Comments

Nurse Practitioner Nurses in San Diego, CA

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Amina Michelle Heise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8110 Birmingham Way Bldg 28, 2nd Floor, San Diego, CA 92123 Phone: 858-966-4003 Fax: 858-560-6798
Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Jennifer Renzas, - Medicare Nurse Practitioner in San Diego, CA