Jeremiah J Kroeker, BC-PMHNP in Victorville, CA

Jeremiah J Kroeker, BC-PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Victorville, California. His current practice location is 15434 W Sage St, Victorville, California. You can reach out to his office (for appointments etc.) via phone at (760) 843-0506.

Jeremiah J Kroeker is licensed to practice in California (license number 95022927) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669182812.

Contact Information

	Jeremiah J Kroeker, BC-PMHNP
	15434 W Sage St, Victorville, CA 92392-9751
	(760) 843-0506
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeremiah J Kroeker
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	15434 W Sage St, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669182812
Provider Enumeration Date: 11/29/2022
Last Update Date: 06/10/2023

Medicare PECOS Information:

PECOS PAC ID: 7911366505
Enrollment ID: I20230629001865

Medical Identifiers

Medical identifiers for Jeremiah J Kroeker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669182812	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95022927 (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. Jeremiah J Kroeker allows following entities to bill medicare on his behalf.

Entity Name	Foothill Behavioral Health Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265443154 PECOS PAC ID: 9739276882 Enrollment ID: O20071106000466

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. Jeremiah J Kroeker 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
Jeremiah J Kroeker, BC-PMHNP 522 San Jacinto St, Redlands, CA 92373-5751 Ph: (909) 553-5776	Jeremiah J Kroeker, BC-PMHNP 15434 W Sage St, Victorville, CA 92392-9751 Ph: (760) 843-0506

Reviews and Comments

Nurse Practitioner Nurses in Victorville, CA

Bukola Gross, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13010 Hesperia Rd Ste 501, Victorville, CA 92395 Phone: 760-881-3717
Jessica C Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-241-0393
Mrs. Shawntel Logan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12760 Hesperia Rd Ste C, Victorville, CA 92395 Phone: 760-338-0911
Krystle Ann Frazier, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000
Noarie Iverie Magoun, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12677 Hesperia Rd Ste 130, Victorville, CA 92395 Phone: 760-241-7763 Fax: 760-241-6383
Jose Manuel Ortega, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000
Cindy Alvarez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11857 Elliot Way, Victorville, CA 92392 Phone: 818-400-5438

Jeremiah J Kroeker, BC-PMHNP - Medicare Nurse Practitioner in Victorville, CA