Mr John Robert San Pedro Faustino, NURSE PRACTITIONER - Medicare Nurse Practitioner in Humble, TX

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Mr John Robert San Pedro Faustino, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Acute Care" in Humble, Texas. His current practice location is 18980 West Memorial Drive, Suite 100, Humble, Texas. You can reach out to his office (for appointments etc.) via phone at (832) 644-8930.

Mr John Robert San Pedro Faustino is licensed to practice in Texas (license number 1071782) 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 1922734755.

Contact Information

Mr John Robert San Pedro Faustino, NURSE PRACTITIONER
18980 West Memorial Drive, Suite 100,
Humble, TX 77338
(832) 644-8930
Not Available

Map and Direction




Provider's Profile

Full NameMr John Robert San Pedro Faustino
GenderMale
SpecialityNurse Practitioner - Acute Care
Location18980 West Memorial Drive, Humble, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922734755
  • Provider Enumeration Date: 07/25/2022
  • Last Update Date: 11/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355725664
  • Enrollment ID: I20220906003425

Medical Identifiers

Medical identifiers for Mr John Robert San Pedro Faustino such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922734755NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 827204 (Texas)Secondary
363LA2100XNurse Practitioner - Acute Care 1071782 (Texas)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 John Robert San Pedro Faustino allows following entities to bill medicare on his behalf.
Entity NameRajiv Agarwal Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720550015
PECOS PAC ID: 6305184011
Enrollment ID: O20190205000851
Entity NameRajiv Agarwal Md Pa
Entity TypePart B Supplier - Intensive Cardiac Rehabilitation
Entity IdentifiersNPI Number: 1598407017
PECOS PAC ID: 6305184011
Enrollment ID: O20230914001132

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 John Robert San Pedro Faustino 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 AddressPractice Location Address
Mr John Robert San Pedro Faustino, NURSE PRACTITIONER
3501 Chenevert St Apt 11,
Houston, TX 77004-4199

Ph: (818) 505-4857		Mr John Robert San Pedro Faustino, NURSE PRACTITIONER
18980 West Memorial Drive, Suite 100,
Humble, TX 77338

Ph: (832) 644-8930

Reviews and Comments


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Sandra Norris-deckard, NP-C
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.