Jossette Portillo Dutton, FNP in Moreno Valley, CA

Jossette Portillo Dutton, FNP is a medicare enrolled "Nurse Practitioner - Family" in Moreno Valley, California. Her current practice location is 22635 Alessandro Blvd Ste A, Moreno Valley, California. You can reach out to her office (for appointments etc.) via phone at (951) 242-2226.

Jossette Portillo Dutton is licensed to practice in California (license number 95005189) 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 1679024731.

Contact Information

	Jossette Portillo Dutton, FNP
	22635 Alessandro Blvd Ste A, Moreno Valley, CA 92553-8550
	(951) 242-2226
	Not Available

Map and Direction

Provider's Profile

Full Name	Jossette Portillo Dutton
Gender	Female
Speciality	Nurse Practitioner - Family
Location	22635 Alessandro Blvd Ste A, Moreno Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679024731
Provider Enumeration Date: 10/24/2016
Last Update Date: 06/15/2024

Medicare PECOS Information:

PECOS PAC ID: 4688958770
Enrollment ID: I20170309001972

Medical Identifiers

Medical identifiers for Jossette Portillo Dutton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679024731	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95005189 (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. Jossette Portillo Dutton 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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Entity Name	Pinnacle Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376876912 PECOS PAC ID: 4880667609 Enrollment ID: O20040818001020

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. Jossette Portillo Dutton 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
Jossette Portillo Dutton, FNP 14140 Agave St, Moreno Valley, CA 92553-4477 Ph: (904) 859-1080	Jossette Portillo Dutton, FNP 22635 Alessandro Blvd Ste A, Moreno Valley, CA 92553-8550 Ph: (951) 242-2226

Reviews and Comments

Nurse Practitioner Nurses in Moreno Valley, CA

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Mrs. Vanessa Renee Smith Constantino, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25970 Iris Ave Ste 3b, Moreno Valley, CA 92551 Phone: 951-924-2775
Lloydette H Brewah, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14934 Tarragon Way, Moreno Valley, CA 92553 Phone: 951-269-0542

Jossette Portillo Dutton, FNP - Medicare Nurse Practitioner in Moreno Valley, CA