Mr Cristiaan Geronimo Medina, FNP-C in Riverside, CA

Mr Cristiaan Geronimo Medina, FNP-C is a medicare enrolled "Nurse Practitioner" in Riverside, California. His current practice location is 4100 Central Ave Ste 201, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 371-6600.

Mr Cristiaan Geronimo Medina is licensed to practice in California (license number 95019835) 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 1730831330.

Contact Information

	Mr Cristiaan Geronimo Medina, FNP-C
	4100 Central Ave Ste 201, Riverside, CA 92506-2930
	(951) 371-6600
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Cristiaan Geronimo Medina
Gender	Male
Speciality	Nurse Practitioner
Location	4100 Central Ave Ste 201, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730831330
Provider Enumeration Date: 01/25/2022
Last Update Date: 01/25/2022

Medicare PECOS Information:

PECOS PAC ID: 6800812512
Enrollment ID: I20220921000766

Medical Identifiers

Medical identifiers for Mr Cristiaan Geronimo Medina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730831330	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95019835 (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. Mr Cristiaan Geronimo Medina allows following entities to bill medicare on his behalf.

Entity Name	County Of Riverside
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107

Entity Name	J M Geiss Do Apc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063825289 PECOS PAC ID: 6103044078 Enrollment ID: O20140919001932

Entity Name	Western Institute Of Critical Care Medicine, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154819126 PECOS PAC ID: 4385986033 Enrollment ID: O20191007002487

Entity Name	California Phs Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649932781 PECOS PAC ID: 2062808645 Enrollment ID: O20220407001048

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 Cristiaan Geronimo Medina 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 Cristiaan Geronimo Medina, FNP-C 24801 Paradise Meadows Dr, Menifee, CA 92584-2668 Ph: (714) 381-8834	Mr Cristiaan Geronimo Medina, FNP-C 4100 Central Ave Ste 201, Riverside, CA 92506-2930 Ph: (951) 371-6600

Reviews and Comments

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Mr Cristiaan Geronimo Medina, FNP-C - Medicare Nurse Practitioner in Riverside, CA