Mr Patrick Jordan Gonzales, NP in Chino, CA - Medicare Nurse Practitioner

Mr Patrick Jordan Gonzales, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chino, California. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ehab Yacoub Md Inc and his current practice location is 8759 Celebration St, Chino, California. You can reach out to his office (for appointments etc.) via phone at (909) 217-8166.

Mr Patrick Jordan Gonzales is licensed to practice in California (license number 95015671) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639775166.

Contact Information

	Mr Patrick Jordan Gonzales, NP
	8759 Celebration St, Chino, CA 91708-8876
	(909) 217-8166
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Patrick Jordan Gonzales
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	8759 Celebration St, Chino, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Patrick Jordan Gonzales graduated from nursing school in 2015

NPI Data:

NPI Number: 1639775166
Provider Enumeration Date: 12/09/2020
Last Update Date: 12/09/2020

Medicare PECOS Information:

PECOS PAC ID: 6901218593
Enrollment ID: I20201228000510

Medical Identifiers

Medical identifiers for Mr Patrick Jordan Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639775166	NPI	-	NPPES
95015671	Other	CA	NURSE PRACTITIONER FURNISHING NUMNBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95015671 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ehab Yacoub Md Inc	5092099523	88

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 Patrick Jordan Gonzales allows following entities to bill medicare on his behalf.

Entity Name	Ehab Yacoub Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071

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 Patrick Jordan Gonzales 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 Patrick Jordan Gonzales, NP 8759 Celebration St, Chino, CA 91708-8876 Ph: (909) 217-8166	Mr Patrick Jordan Gonzales, NP 8759 Celebration St, Chino, CA 91708-8876 Ph: (909) 217-8166

Reviews and Comments

Nurse Practitioner Nurses in Chino, CA

Kelsey San Miguel Lor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7483 Jersey St, Chino, CA 91708 Phone: 909-851-2129
Candice Reyes, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15815 Approach Ave, Chino, CA 91708 Phone: 909-573-4586
Abigail Marie Carino-romo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12584 Central Ave, Chino, CA 91710 Phone: 909-287-1800 Fax: 909-287-3300
Perry Sahagun, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5365 Walnut Ave, Unit 1, Chino, CA 91710 Phone: 909-628-3408
Carlene Barbosa, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11588 Yorba Ave, Chino, CA 91710 Phone: 949-813-5776
Mrs. Stacey Marie Fischer, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12584 Central Ave, Chino, CA 91710 Phone: 909-287-1800 Fax: 909-287-3300
Li Liang, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14335 Pipeline Ave Ste A-1, Chino, CA 91710 Phone: 909-548-3888 Fax: 909-548-3999

Mr Patrick Jordan Gonzales, NP - Medicare Nurse Practitioner in Chino, CA