Mr Alfonso Luna Iii, PA-C is a medicare enrolled "Physician Assistant" in Bloomington, California. His current practice location is
657 S Lancewood Ave, Bloomington, California. You can reach out to his office (for appointments etc.) via phone at
(909) 730-2927.
Mr Alfonso Luna Iii is licensed to practice in California (license number 53349) 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 1740634203.
Provider's Profile
Full Name | Mr Alfonso Luna Iii |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 657 S Lancewood Ave, Bloomington, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740634203
- Provider Enumeration Date: 04/20/2016
- Last Update Date: 08/16/2016
Medicare PECOS Information:
- PECOS PAC ID: 1759677644
- Enrollment ID: I20160928001255
Medical Identifiers
Medical identifiers for Mr Alfonso Luna Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740634203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 53349 (California) | Primary |
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. Mr Alfonso Luna Iii 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 |
Mr Alfonso Luna Iii, PA-C 6368 Hollywood Blvd, Hollywood, CA 90028-6320 Ph: (323) 469-5555 | Mr Alfonso Luna Iii, PA-C 657 S Lancewood Ave, Bloomington, CA 92316-1336 Ph: (909) 730-2927 |
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