Mr Rudy John Hernandez Jr, is a
Registered Nurse - Psychiatric/mental Health, Adult based in Crestline, California. Mr Rudy John Hernandez Jr is licensed to practice in California (license number 95044697) and his current practice location is
Po Box 1382, Crestline, California. He can be reached at his office (for appointments etc.) via phone at
(951) 544-0200.
NPI number for Mr Rudy John Hernandez Jr is 1124876800 and his current mailing address is Po Box 1382, Crestline, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124876800.
Provider's Profile
| Full Name | Mr Rudy John Hernandez Jr |
|---|
| Gender | Male |
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| Speciality | Registered Nurse - Psychiatric/mental Health, Adult |
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| Location | Po Box 1382, Crestline, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124876800
- Provider Enumeration Date: 05/08/2024
- Last Update Date: 05/08/2024
Medical Identifiers
Medical identifiers for Mr Rudy John Hernandez Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124876800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 95044697 (California) | Primary |
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 Rudy John Hernandez Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Rudy John Hernandez Jr,
Po Box 1382,
Crestline, CA 92325-1382
Ph: (951) 544-0200 | Mr Rudy John Hernandez Jr,
Po Box 1382,
Crestline, CA 92325-1382
Ph: (951) 544-0200 |
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