Juanita Heather Dubon, FNP is a medicare enrolled "Nurse Practitioner - Family" in Pamona, California. Her current practice location is
795 E. Second Street, Suite 5, Pamona, California. You can reach out to her office (for appointments etc.) via phone at
(909) 865-2565.
Juanita Heather Dubon is licensed to practice in California (license number 614784) 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 1396143731.
Provider's Profile
| Full Name | Juanita Heather Dubon |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 795 E. Second Street, Pamona, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396143731
- Provider Enumeration Date: 12/17/2014
- Last Update Date: 12/17/2014
Medicare PECOS Information:
- PECOS PAC ID: 9234442013
- Enrollment ID: I20150722006096
Medical Identifiers
Medical identifiers for Juanita Heather Dubon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396143731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 614784 (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. Juanita Heather Dubon allows following entities to bill medicare on her behalf.
| Entity Name | Cep America - California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458 |
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| Entity Name | Mountain View Emergency Physicians Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619923653
PECOS PAC ID: 5092606376
Enrollment ID: O20040324000887 |
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| Entity Name | Mountain View Urgent Care Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023306784
PECOS PAC ID: 7214107861
Enrollment ID: O20110908002279 |
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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. Juanita Heather Dubon 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 |
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Juanita Heather Dubon, FNP
795 E. Second Street, Suite 5,
Pamona, CA 91766-2007
Ph: (909) 865-2565 | Juanita Heather Dubon, FNP
795 E. Second Street, Suite 5,
Pamona, CA 91766-2007
Ph: (909) 865-2565 |
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