Kenneth Baldemor Reyes, RN in San Diego, CA - Medicare Nurse Practitioner

Kenneth Baldemor Reyes, RN is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. Her current practice location is 438 Camino Del Rio S Ste 203, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 955-8507.

Kenneth Baldemor Reyes is licensed to practice in California (license number 95018998) 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 1083907547.

Contact Information

	Kenneth Baldemor Reyes, RN
	438 Camino Del Rio S Ste 203, San Diego, CA 92108-3546
	(619) 955-8507
	(619) 955-8508

Map and Direction

Provider's Profile

Full Name	Kenneth Baldemor Reyes
Gender	Female
Speciality	Nurse Practitioner - Family
Location	438 Camino Del Rio S Ste 203, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083907547
Provider Enumeration Date: 05/17/2011
Last Update Date: 09/24/2023

Medicare PECOS Information:

PECOS PAC ID: 9133585185
Enrollment ID: I20230516003646

Medical Identifiers

Medical identifiers for Kenneth Baldemor Reyes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083907547	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95043997 (California)	Secondary
164X00000X	Licensed Vocational Nurse	223137 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95018998 (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. Kenneth Baldemor Reyes allows following entities to bill medicare on her behalf.

Entity Name	Lf Capital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275020844 PECOS PAC ID: 0244595502 Enrollment ID: O20180607002224

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. Kenneth Baldemor Reyes 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
Kenneth Baldemor Reyes, RN 438 Camino Del Rio S Ste 203, San Diego, CA 92108-3546 Ph: () -	Kenneth Baldemor Reyes, RN 438 Camino Del Rio S Ste 203, San Diego, CA 92108-3546 Ph: (619) 955-8507

Reviews and Comments

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Amina Michelle Heise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8110 Birmingham Way Bldg 28, 2nd Floor, San Diego, CA 92123 Phone: 858-966-4003 Fax: 858-560-6798
Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Kenneth Baldemor Reyes, RN - Medicare Nurse Practitioner in San Diego, CA