Mr Kid Jonathan Cabrera Sr, FNP in Bend, OR - Medicare Nurse Practitioner

Mr Kid Jonathan Cabrera Sr, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bend, Oregon. His current practice location is 815 Sw Bond St, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 382-4900.

Mr Kid Jonathan Cabrera Sr is licensed to practice in Oregon (license number 202210845NP-PP) 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 1588386676.

Contact Information

	Mr Kid Jonathan Cabrera Sr, FNP
	815 Sw Bond St, Bend, OR 97702-3593
	(541) 382-4900
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kid Jonathan Cabrera Sr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	815 Sw Bond St, Bend, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588386676
Provider Enumeration Date: 09/14/2022
Last Update Date: 04/08/2024

Medicare PECOS Information:

PECOS PAC ID: 4385012715
Enrollment ID: I20221116001232

Medical Identifiers

Medical identifiers for Mr Kid Jonathan Cabrera Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588386676	NPI	-	NPPES
500811890	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	202210845NP-PP (Oregon)	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 Kid Jonathan Cabrera Sr allows following entities to bill medicare on his behalf.

Entity Name	Bend Memorial Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699827477 PECOS PAC ID: 7214936533 Enrollment ID: O20061215000022

Entity Name	Icco Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510

Entity Name	St Charles Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023331303 PECOS PAC ID: 8729111513 Enrollment ID: O20100730000227

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 Kid Jonathan Cabrera Sr 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 Kid Jonathan Cabrera Sr, FNP Po Box 6048, Bend, OR 97708-6048 Ph: (541) 382-4900	Mr Kid Jonathan Cabrera Sr, FNP 815 Sw Bond St, Bend, OR 97702-3593 Ph: (541) 382-4900

Reviews and Comments

Nurse Practitioner Nurses in Bend, OR

Mr. Nicholas J Campo Iii, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 233 Sw Wilson Ave Ste 201, Bend, OR 97702 Phone: 541-382-8862 Fax: 541-382-8928
Elaine Michele Brown, RN ARNP PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 Ne Neff Rd Ste B, Bend, OR 97701 Phone: 541-647-2132 Fax: 541-728-0109
Jonathan Andrew Mcfadyen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-2811
Molly K Torvik, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2195 Ne Professional Ct Ste 1, Bend, OR 97701 Phone: 541-322-9396
Jennifer Nicole Herr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900
Samantha Mullis, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 Fax: 541-706-7068
Ms. Jordan Meier, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1345 Nw Wall St Ste 202, Bend, OR 97703 Phone: 541-204-2021 Fax: 541-325-4011

Mr Kid Jonathan Cabrera Sr, FNP - Medicare Nurse Practitioner in Bend, OR