Mr Paul Smith Villaire, NP in San Diego, CA - Medicare Nurse Practitioner

Mr Paul Smith Villaire, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in San Diego, California. His current practice location is 34800 Bob Wilson Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 532-8209.

Mr Paul Smith Villaire is licensed to practice in California (license number 19630) 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 1124327739.

Contact Information

	Mr Paul Smith Villaire, NP
	34800 Bob Wilson Dr, San Diego, CA 92134
	(619) 532-8209
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Paul Smith Villaire
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	34800 Bob Wilson Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124327739
Provider Enumeration Date: 03/22/2011
Last Update Date: 06/14/2024

Medicare PECOS Information:

PECOS PAC ID: 5193085678
Enrollment ID: I20180919002574

Medical Identifiers

Medical identifiers for Mr Paul Smith Villaire such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124327739	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WE0003X	Registered Nurse - Emergency	RE2422 (Guam)	Secondary
363LF0000X	Nurse Practitioner - Family	NP0180 (Guam)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	19630 (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 Paul Smith Villaire allows following entities to bill medicare on his behalf.

Entity Name	Guam Healthcare Development Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326447939 PECOS PAC ID: 9234351776 Enrollment ID: O20150326000266

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 Paul Smith Villaire 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 Paul Smith Villaire, NP Psc 826 Box 1, Fpo, AE 09761-0001 Ph: () -	Mr Paul Smith Villaire, NP 34800 Bob Wilson Dr, San Diego, CA 92134 Ph: (619) 532-8209

Reviews and Comments

Nurse Practitioner Nurses in San Diego, CA

Lorena Marie Fujii, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8910
Susan Kermoian Yaszay, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Gateway Center Way, San Diego, CA 92102 Phone: 619-515-2300 Fax: 619-232-1360
Dale Michael Trujillo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Amina Michelle Heise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8110 Birmingham Way Bldg 28, 2nd Floor, San Diego, CA 92123 Phone: 858-966-4003 Fax: 858-560-6798
Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Mr Paul Smith Villaire, NP - Medicare Nurse Practitioner in San Diego, CA