Mr Dale Tugonon Ello, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Niland, California. His current practice location is
8027 Highway 111, Niland, California. You can reach out to his office (for appointments etc.) via phone at
(760) 359-0110.
Mr Dale Tugonon Ello is licensed to practice in California (license number 95000535) 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 1215329099.
Provider's Profile
| Full Name | Mr Dale Tugonon Ello |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 8027 Highway 111, Niland, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215329099
- Provider Enumeration Date: 03/03/2015
- Last Update Date: 08/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 4486962560
- Enrollment ID: I20151009001752
Medical Identifiers
Medical identifiers for Mr Dale Tugonon Ello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215329099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 719953 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95000535 (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 Dale Tugonon Ello allows following entities to bill medicare on his behalf.
| Entity Name | Clinicas De Salud Del Pueblo Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346313889
PECOS PAC ID: 5496657082
Enrollment ID: O20071201000158 |
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| Entity Name | Merced Hospitalist Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730431875
PECOS PAC ID: 5890948582
Enrollment ID: O20130108000022 |
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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 Dale Tugonon Ello 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 |
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Mr Dale Tugonon Ello, NP-C
2712 Peach Drive,
Little Elm, TX 75068
Ph: (214) 618-1804 | Mr Dale Tugonon Ello, NP-C
8027 Highway 111,
Niland, CA 92257-2630
Ph: (760) 359-0110 |
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