Mr Louis E Herzog, NURSE PRACTITIONER in Stockton, CA

Mr Louis E Herzog, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Stockton, California. His current practice location is 7210 Murray Dr, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 373-2800.

Mr Louis E Herzog is licensed to practice in California (license number NP95009654) 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 1356830384.

Contact Information

	Mr Louis E Herzog, NURSE PRACTITIONER
	7210 Murray Dr, Stockton, CA 95210
	(209) 373-2800
	(209) 373-2878

Map and Direction

Provider's Profile

Full Name	Mr Louis E Herzog
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	7210 Murray Dr, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356830384
Provider Enumeration Date: 05/04/2018
Last Update Date: 09/08/2018

Medicare PECOS Information:

PECOS PAC ID: 2365786647
Enrollment ID: I20181128001736

Medical Identifiers

Medical identifiers for Mr Louis E Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356830384	NPI	-	NPPES
AP10024	Other	LA	LOUISIANA STATE BOARD OF NURSING
RN140980	Other	LA	WAITING ON LICENSE FOR NP
2017037465	Other		PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER
NP95009654	Other	CA	CALIFORNIA STATE BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	RN140980 (Louisiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP10024 (Louisiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP95009654 (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 Louis E Herzog allows following entities to bill medicare on his behalf.

Entity Name	Community Medical Centers, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588729180 PECOS PAC ID: 8426968520 Enrollment ID: O20101027000870

Entity Name	Cep America - Psychiatry Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538757232 PECOS PAC ID: 0244522159 Enrollment ID: O20160713002860

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 Louis E Herzog 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 Louis E Herzog, NURSE PRACTITIONER 525 E State St, Baton Rouge, LA 70802-6929 Ph: (985) 255-3776	Mr Louis E Herzog, NURSE PRACTITIONER 7210 Murray Dr, Stockton, CA 95210 Ph: (209) 373-2800

Reviews and Comments

Nurse Practitioner Nurses in Stockton, CA

Yuko Motooka-halseth, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 E March Ln Ste D470, Stockton, CA 95210 Phone: 209-507-7027 Fax: 209-762-6808
Harmanpreet Kaur, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 E Harding Way, Stockton, CA 95204 Phone: 209-944-5750
Rex Ambatali Jr., FNP-C, CVNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2633 Pacific Ave, Stockton, CA 95204 Phone: 209-944-5530
Mrs. Deborah Kay Hastie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207 Phone: 209-952-5555 Fax: 209-952-1907
Mrs. Ketty Ukpong Uweh, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 E Harding Way Ste B, Stockton, CA 95204 Phone: 209-244-9191 Fax: 209-244-9190
Dr. Joan S Rubinger, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2488 N California St, C/o R Winter Md, Stockton, CA 95204 Phone: 209-518-5051
Lisa Hansen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 89 W March Ln, Suite #1, Stockton, CA 95207 Phone: 209-478-2622 Fax: 209-870-2754

Mr Louis E Herzog, NURSE PRACTITIONER - Medicare Nurse Practitioner in Stockton, CA