Mr Peter Paul Mutya Badua, - Medicare Nurse Practitioner in Rancho Cucamonga, CA

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Mr Peter Paul Mutya Badua, is a medicare enrolled "Nurse Practitioner - Family" in Rancho Cucamonga, California. His current practice location is 10621 Church St Ste 120, Rancho Cucamonga, California. You can reach out to his office (for appointments etc.) via phone at (909) 944-0486.

Mr Peter Paul Mutya Badua is licensed to practice in California (license number 95030226) 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 1043036429.

Contact Information

Mr Peter Paul Mutya Badua,
10621 Church St Ste 120,
Rancho Cucamonga, CA 91730-6834
(909) 944-0486
Not Available

Map and Direction




Provider's Profile

Full NameMr Peter Paul Mutya Badua
GenderMale
SpecialityNurse Practitioner - Family
Location10621 Church St Ste 120, Rancho Cucamonga, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043036429
  • Provider Enumeration Date: 12/02/2024
  • Last Update Date: 12/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1456887462
  • Enrollment ID: I20241212004225

Medical Identifiers

Medical identifiers for Mr Peter Paul Mutya Badua such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043036429NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95030226 (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 Peter Paul Mutya Badua allows following entities to bill medicare on his behalf.
Entity NameWound Masters Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376063461
PECOS PAC ID: 8224307053
Enrollment ID: O20170710002429
Entity NameWound Healing Care Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306317961
PECOS PAC ID: 5698019602
Enrollment ID: O20181203001136

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 Peter Paul Mutya Badua 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 AddressPractice Location Address
Mr Peter Paul Mutya Badua,
316 Via Napoli,
Cathedral City, CA 92234-4189

Ph: (818) 519-5373		Mr Peter Paul Mutya Badua,
10621 Church St Ste 120,
Rancho Cucamonga, CA 91730-6834

Ph: (909) 944-0486

Reviews and Comments


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Phone: 562-824-5099    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.