Mr Jesse Santoyo, FNP-C in Burbank, CA - Medicare Nurse Practitioner

Mr Jesse Santoyo, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Burbank, California. His current practice location is 2625 W Alameda Ave Ste 506, Burbank, California. You can reach out to his office (for appointments etc.) via phone at (818) 843-5864.

Mr Jesse Santoyo is licensed to practice in California (license number 95006255) 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 1437699360.

Contact Information

	Mr Jesse Santoyo, FNP-C
	2625 W Alameda Ave Ste 506, Burbank, CA 91505-4816
	(818) 843-5864
	(818) 843-5860

Map and Direction

Provider's Profile

Full Name	Mr Jesse Santoyo
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2625 W Alameda Ave Ste 506, Burbank, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437699360
Provider Enumeration Date: 02/25/2017
Last Update Date: 01/17/2023

Medicare PECOS Information:

PECOS PAC ID: 6406227453
Enrollment ID: I20230130002078

Medical Identifiers

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

Identifier	Type	State	Issuer
1437699360	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95006255 (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 Santoyo allows following entities to bill medicare on his behalf.

Entity Name	Vital Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366839656 PECOS PAC ID: 4789987215 Enrollment ID: O20160115002545

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 Santoyo 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 Santoyo, FNP-C Po Box 70084, Pasadena, CA 91117-7084 Ph: (818) 843-5864	Mr Jesse Santoyo, FNP-C 2625 W Alameda Ave Ste 506, Burbank, CA 91505-4816 Ph: (818) 843-5864

Reviews and Comments

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Mr Jesse Santoyo, FNP-C - Medicare Nurse Practitioner in Burbank, CA