Mr Jonas Fortin Obispo, AGACNP-BC in Los Angeles, CA

Mr Jonas Fortin Obispo, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Los Angeles, California. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice California Wound Healing Medical Group Inc. and his current practice location is 905 E 2nd St Apt 566, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 525-7364.

Mr Jonas Fortin Obispo is licensed to practice in California (license number 95015686) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1699350074.

Contact Information

	Mr Jonas Fortin Obispo, AGACNP-BC
	905 E 2nd St Apt 566, Los Angeles, CA 90012-4487
	(310) 525-7364
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jonas Fortin Obispo
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	905 E 2nd St Apt 566, Los Angeles, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jonas Fortin Obispo graduated from nursing school in 2020

NPI Data:

NPI Number: 1699350074
Provider Enumeration Date: 03/16/2021
Last Update Date: 03/16/2021

Medicare PECOS Information:

PECOS PAC ID: 2668874470
Enrollment ID: I20210715001325

Medical Identifiers

Medical identifiers for Mr Jonas Fortin Obispo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699350074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95015686 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
California Wound Healing Medical Group Inc.	7315033198	8

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 Jonas Fortin Obispo allows following entities to bill medicare on his behalf.

Entity Name	California Wound Healing Medical Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235333972 PECOS PAC ID: 7315033198 Enrollment ID: O20071010000465

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 Jonas Fortin Obispo 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 Jonas Fortin Obispo, AGACNP-BC 905 E 2nd St Apt 566, Los Angeles, CA 90012-4487 Ph: (310) 525-7364	Mr Jonas Fortin Obispo, AGACNP-BC 905 E 2nd St Apt 566, Los Angeles, CA 90012-4487 Ph: (310) 525-7364

Reviews and Comments

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Mr Jonas Fortin Obispo, AGACNP-BC - Medicare Nurse Practitioner in Los Angeles, CA