Mr Evagrio Pagkaliwangan Bencito, NP is a medicare enrolled "Clinical Nurse Specialist - Acute Care" in Carson, California. His current practice location is
1000 W Carson St, Carson, California. You can reach out to his office (for appointments etc.) via phone at
(310) 222-3528.
Mr Evagrio Pagkaliwangan Bencito is licensed to practice in California (license number 17801) 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 1992965891.
Provider's Profile
| Full Name | Mr Evagrio Pagkaliwangan Bencito |
|---|
| Gender | Male |
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| Speciality | Clinical Nurse Specialist - Acute Care |
|---|
| Location | 1000 W Carson St, Carson, 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: 1992965891
- Provider Enumeration Date: 06/13/2008
- Last Update Date: 06/13/2008
Medicare PECOS Information:
- PECOS PAC ID: 8426212978
- Enrollment ID: I20180824002950
Medical Identifiers
Medical identifiers for Mr Evagrio Pagkaliwangan Bencito such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992965891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 565369 (California) | Secondary |
| 364SA2100X | Clinical Nurse Specialist - Acute Care | 17801 (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 Evagrio Pagkaliwangan Bencito 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 Evagrio Pagkaliwangan Bencito, NP
3564 Brenton Ave Apt E,
Lynwood, CA 90262-2063
Ph: (310) 639-5282 | Mr Evagrio Pagkaliwangan Bencito, NP
1000 W Carson St,
Carson, CA 90810-1408
Ph: (310) 222-3528 |
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