Jennifer Vida Diego Callueng, NP - Medicare Nurse Practitioner in Baldwin Park, CA

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Jennifer Vida Diego Callueng, NP is a medicare enrolled "Nurse Practitioner - Family" in Baldwin Park, California. Her current practice location is 14051 Ramona Pkwy, Baldwin Park, California. You can reach out to her office (for appointments etc.) via phone at (626) 960-3753.

Jennifer Vida Diego Callueng is licensed to practice in California (license number 95014306) 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 1518589944.

Contact Information

Jennifer Vida Diego Callueng, NP
14051 Ramona Pkwy,
Baldwin Park, CA 91706-4114
(626) 960-3753
(626) 962-9866

Map and Direction




Provider's Profile

Full NameJennifer Vida Diego Callueng
GenderFemale
SpecialityNurse Practitioner - Family
Location14051 Ramona Pkwy, Baldwin Park, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518589944
  • Provider Enumeration Date: 05/07/2020
  • Last Update Date: 05/07/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2668810953
  • Enrollment ID: I20240405000490

Medical Identifiers

Medical identifiers for Jennifer Vida Diego Callueng such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518589944NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95014306 (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 Vida Diego Callueng allows following entities to bill medicare on her behalf.
Entity NameM.d. Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124051578
PECOS PAC ID: 7618922113
Enrollment ID: O20050317000551
Entity NameBaldwin Park Medical Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750728663
PECOS PAC ID: 9133350093
Enrollment ID: O20140319000248

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 Vida Diego Callueng 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 AddressPractice Location Address
Jennifer Vida Diego Callueng, NP
14051 Ramona Pkwy,
Baldwin Park, CA 91706-4114

Ph: (626) 960-3753		Jennifer Vida Diego Callueng, NP
14051 Ramona Pkwy,
Baldwin Park, CA 91706-4114

Ph: (626) 960-3753

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.