Kristian Wuysang, in Fontana, CA - Medicare Nurse Practitioner

Kristian Wuysang, is a medicare enrolled "Nurse Practitioner - Family" in Fontana, California. His current practice location is 7965 Sierra Ave Ste E, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 356-4459.

Kristian Wuysang is licensed to practice in California (license number 95007793) 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 1619477817.

Contact Information

	Kristian Wuysang,
	7965 Sierra Ave Ste E, Fontana, CA 92336
	(909) 356-4459
	(909) 355-4261

Map and Direction

Provider's Profile

Full Name	Kristian Wuysang
Gender	Male
Speciality	Nurse Practitioner - Family
Location	7965 Sierra Ave Ste E, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619477817
Provider Enumeration Date: 02/15/2018
Last Update Date: 06/14/2018

Medicare PECOS Information:

PECOS PAC ID: 8527398791
Enrollment ID: I20191001003210

Medical Identifiers

Medical identifiers for Kristian Wuysang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619477817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95007793 (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. Kristian Wuysang allows following entities to bill medicare on his behalf.

Entity Name	San Marcos Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447446448 PECOS PAC ID: 0749222495 Enrollment ID: O20050524000402

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. Kristian Wuysang 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
Kristian Wuysang, 10850 Church St Apt R106, Rancho Cucamonga, CA 91730-8051 Ph: () -	Kristian Wuysang, 7965 Sierra Ave Ste E, Fontana, CA 92336 Ph: (909) 356-4459

Reviews and Comments

Nurse Practitioner Nurses in Fontana, CA

Cherry Patricia Thangaraj, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7965 Sierra Ave, Fontana, CA 92336 Phone: 909-356-4459
Yael Steinfeld, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Scott Swartz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Cory Michael Layvas, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000
Lisa Marie Hanson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 275, Fontana, CA 92336 Phone: 909-823-8000
Fabiola Sianturi, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8110 Mango Ave, Fontana, CA 92335 Phone: 909-854-0430
Nadia Le Flore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17051 Sierra Lakes Pkwy # 103, Fontana, CA 92336 Phone: 909-770-1000

Kristian Wuysang, - Medicare Nurse Practitioner in Fontana, CA