Mr Fidelito Boado Agcaoili, PA-C in Riverside, CA

Mr Fidelito Boado Agcaoili, PA-C is a medicare enrolled "Physician Assistant" in Riverside, California. His current practice location is 4000 14th Street, Ste. 208, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 369-6191.

Mr Fidelito Boado Agcaoili is licensed to practice in California (license number PA-18803) 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 1225316466.

Contact Information

	Mr Fidelito Boado Agcaoili, PA-C
	4000 14th Street, Ste. 208, Riverside, CA 92501-4136
	(951) 369-6191
	(951) 369-0304

Map and Direction

Provider's Profile

Full Name	Mr Fidelito Boado Agcaoili
Gender	Male
Speciality	Physician Assistant
Location	4000 14th Street, 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: 1225316466
Provider Enumeration Date: 07/21/2011
Last Update Date: 07/21/2011

Medicare PECOS Information:

PECOS PAC ID: 1759407232
Enrollment ID: I20160108000207

Medical Identifiers

Medical identifiers for Mr Fidelito Boado Agcaoili such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225316466	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA-18803 (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 Fidelito Boado Agcaoili 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 Fidelito Boado Agcaoili, PA-C 4000 14th Street, Ste. 208, Riverside, CA 92501-4136 Ph: (951) 369-6191	Mr Fidelito Boado Agcaoili, PA-C 4000 14th Street, Ste. 208, Riverside, CA 92501-4136 Ph: (951) 369-6191

Reviews and Comments

Physician Assistant Nurses in Riverside, CA

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Mr Fidelito Boado Agcaoili, PA-C - Medicare Physician Assistant in Riverside, CA