Mr Jesse Gonzaga, NP in Oakland, CA - Medicare Nurse Practitioner

Mr Jesse Gonzaga, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Oakland, California. His current practice location is 350 Hawthorne Ave, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 869-8660.

Mr Jesse Gonzaga is licensed to practice in California (license number 11763) 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 1649348921.

Contact Information

	Mr Jesse Gonzaga, NP
	350 Hawthorne Ave, Oakland, CA 94609-3108
	(510) 869-8660
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jesse Gonzaga
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	350 Hawthorne Ave, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649348921
Provider Enumeration Date: 12/02/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4082890348
Enrollment ID: I20110520000572

Medical Identifiers

Medical identifiers for Mr Jesse Gonzaga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649348921	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	11763 (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 Jesse Gonzaga allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Jesse Gonzaga 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 Jesse Gonzaga, NP 3012 Summit St Fl 2, Oakland, CA 94609-3480 Ph: (510) 869-8660	Mr Jesse Gonzaga, NP 350 Hawthorne Ave, Oakland, CA 94609-3108 Ph: (510) 869-8660

Reviews and Comments

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Mr Jesse Gonzaga, NP - Medicare Nurse Practitioner in Oakland, CA