Mr Anthony Felipe Banuelos Villa, FNP in Los Angeles, CA

Mr Anthony Felipe Banuelos Villa, FNP is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice St Johns Community Health and his current practice location is 3437 Ellison St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (626) 375-5566.

Mr Anthony Felipe Banuelos Villa is licensed to practice in California (license number 95014143) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912534033.

Contact Information

	Mr Anthony Felipe Banuelos Villa, FNP
	3437 Ellison St, Los Angeles, CA 90063-1901
	(626) 375-5566
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Anthony Felipe Banuelos Villa
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	3437 Ellison St, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Anthony Felipe Banuelos Villa graduated from nursing school in 2015

NPI Data:

NPI Number: 1912534033
Provider Enumeration Date: 03/26/2020
Last Update Date: 03/26/2020

Medicare PECOS Information:

PECOS PAC ID: 0345641593
Enrollment ID: I20210625001662

Medical Identifiers

Medical identifiers for Mr Anthony Felipe Banuelos Villa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912534033	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95014143 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Johns Community Health	2961482690	90

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. Mr Anthony Felipe Banuelos Villa allows following entities to bill medicare on his behalf.

Entity Name	St Johns Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434

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 Anthony Felipe Banuelos Villa 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 Anthony Felipe Banuelos Villa, FNP 3437 Ellison St, Los Angeles, CA 90063-1901 Ph: (626) 375-5566	Mr Anthony Felipe Banuelos Villa, FNP 3437 Ellison St, Los Angeles, CA 90063-1901 Ph: (626) 375-5566

Reviews and Comments

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Mr Anthony Felipe Banuelos Villa, FNP - Medicare Nurse Practitioner in Los Angeles, CA