Jonvanni Bongolan, in La Jolla, CA - Medicare Nurse Practitioner

Jonvanni Bongolan, is a medicare enrolled "Nurse Practitioner - Family" in La Jolla, California. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Bethel Family Clinic and his current practice location is 9300 Campus Point Dr, La Jolla, California. You can reach out to his office (for appointments etc.) via phone at (858) 657-6390.

Jonvanni Bongolan is licensed to practice in California (license number 19774) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124335807.

Contact Information

	Jonvanni Bongolan,
	9300 Campus Point Dr, La Jolla, CA 92037-1300
	(858) 657-6390
	Not Available

Map and Direction

Provider's Profile

Full Name	Jonvanni Bongolan
Gender	Male
Speciality	Nurse Practitioner
Experience	14 Years
Location	9300 Campus Point Dr, La Jolla, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jonvanni Bongolan graduated from nursing school in 2010

NPI Data:

NPI Number: 1124335807
Provider Enumeration Date: 09/02/2010
Last Update Date: 12/07/2010

Medicare PECOS Information:

PECOS PAC ID: 3173795408
Enrollment ID: I20220711002547

Medical Identifiers

Medical identifiers for Jonvanni Bongolan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124335807	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	19774 (California)	Primary
163W00000X	Registered Nurse	624546 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bethel Family Clinic	7719876416	2

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. Jonvanni Bongolan allows following entities to bill medicare on his behalf.

Entity Name	Bethel Family Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124078019 PECOS PAC ID: 7719876416 Enrollment ID: O20040311000904

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. Jonvanni Bongolan 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
Jonvanni Bongolan, 4443 Cherokee Ave, San Diego, CA 92116-3610 Ph: (619) 884-9726	Jonvanni Bongolan, 9300 Campus Point Dr, La Jolla, CA 92037-1300 Ph: (858) 657-6390

Reviews and Comments

Nurse Practitioner Nurses in La Jolla, CA

Ms. Jumai Fathiya Dawuda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10710 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7100
Bonnie Susan Omeara, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9500 Gilman Dr, La Jolla, CA 92093 Phone: 858-534-3300
Yevheniya Khrobust, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave, La Jolla, CA 92037 Phone: 858-554-9100
Maggie Searson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9435 Medical Center Dr, La Jolla, CA 92037 Phone: 858-657-8530
Angela R Acfalle, NP CNS Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9500 Gilman Dr, # 0039, La Jolla, CA 92093 Phone: 858-534-2918
Jessica Merchant, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9834 Genesee Ave Ste 412, La Jolla, CA 92037 Phone: 858-457-8600
Dr. Nicole Lorraine Brustkern, DNP, FNP-C, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5726 La Jolla Blvd, La Jolla, CA 92037 Phone: 425-269-2369

Jonvanni Bongolan, - Medicare Nurse Practitioner in La Jolla, CA