Mr Rodolfo Perez Jr, FNP in Montclair, CA - Medicare Nurse Practitioner

Mr Rodolfo Perez Jr, FNP is a medicare enrolled "Nurse Practitioner - Family" in Montclair, California. His current practice location is 9635 Monte Vista Ave Ste 205, Montclair, California. You can reach out to his office (for appointments etc.) via phone at (909) 906-3446.

Mr Rodolfo Perez Jr is licensed to practice in California (license number 23311) 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 1134557648.

Contact Information

	Mr Rodolfo Perez Jr, FNP
	9635 Monte Vista Ave Ste 205, Montclair, CA 91763-2235
	(909) 906-3446
	(909) 966-4450

Map and Direction

Provider's Profile

Full Name	Mr Rodolfo Perez Jr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	9635 Monte Vista Ave Ste 205, Montclair, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134557648
Provider Enumeration Date: 10/18/2013
Last Update Date: 05/23/2024

Medicare PECOS Information:

PECOS PAC ID: 9931324951
Enrollment ID: I20140708001356

Medical Identifiers

Medical identifiers for Mr Rodolfo Perez Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134557648	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	23311 (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 Rodolfo Perez Jr allows following entities to bill medicare on his behalf.

Entity Name	J & D Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659884278 PECOS PAC ID: 3072871243 Enrollment ID: O20171215001152

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 Rodolfo Perez Jr 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 Rodolfo Perez Jr, FNP 9635 Monte Vista Ave Ste 205, Montclair, CA 91763-2235 Ph: (909) 906-3446	Mr Rodolfo Perez Jr, FNP 9635 Monte Vista Ave Ste 205, Montclair, CA 91763-2235 Ph: (909) 906-3446

Reviews and Comments

Nurse Practitioner Nurses in Montclair, CA

Danielle Denise Long, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 3181, Montclair, CA 91763 Phone: 424-571-2126
Isabella Bohorquez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9342 Rose Ave, Montclair, CA 91763 Phone: 626-217-3371
Mrs. Nisrin Abdelsamie, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4950 San Bernardino St Ste 218, Montclair, CA 91763 Phone: 714-785-3495
Mrs. Gloria Margaret Sanchez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9057 Central Ave, Montclair, CA 91763 Phone: 909-398-4958 Fax: 909-398-4979
Mary Black-williams, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5050 San Bernardino St, Montclair, CA 91763 Phone: 909-626-2463 Fax: 909-624-6297
Perla Kelenjian, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4950 San Bernardino St Ste 218, Montclair, CA 91763 Phone: 909-624-8019

Mr Rodolfo Perez Jr, FNP - Medicare Nurse Practitioner in Montclair, CA