Mrs Mary Jane Relampagos Mancuso, FNP in Upland, CA

Mrs Mary Jane Relampagos Mancuso, FNP is a medicare enrolled "Nurse Practitioner - Family" in Upland, California. Her current practice location is 1113 Alta Ave, Suite #110, Upland, California. You can reach out to her office (for appointments etc.) via phone at (626) 922-8060.

Mrs Mary Jane Relampagos Mancuso is licensed to practice in California (license number 545344) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295922045.

Contact Information

	Mrs Mary Jane Relampagos Mancuso, FNP
	1113 Alta Ave, Suite #110, Upland, CA 91786-2800
	(626) 922-8060
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mary Jane Relampagos Mancuso
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1113 Alta Ave, Upland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295922045
Provider Enumeration Date: 09/26/2007
Last Update Date: 10/23/2021

Medicare PECOS Information:

PECOS PAC ID: 9335329911
Enrollment ID: I20110215000215

Medical Identifiers

Medical identifiers for Mrs Mary Jane Relampagos Mancuso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295922045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	545344 (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. Mrs Mary Jane Relampagos Mancuso allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Mrs Mary Jane Relampagos Mancuso 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
Mrs Mary Jane Relampagos Mancuso, FNP 1759 Crebs Way, Upland, CA 91784-9297 Ph: (626) 922-8060	Mrs Mary Jane Relampagos Mancuso, FNP 1113 Alta Ave, Suite #110, Upland, CA 91786-2800 Ph: (626) 922-8060

Reviews and Comments

Nurse Practitioner Nurses in Upland, CA

Stephanie J Rasmussen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811
Yusleydys Panade Roman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1020 W 16th St, Upland, CA 91784 Phone: 626-642-6977
Madonna Zand, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1310 San Bernardino Rd, 205, Upland, CA 91786 Phone: 909-981-9991
Michelle Jessica Carhill, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 585 N Mountain Ave, Upland, CA 91786 Phone: 909-608-7546
Bernice Tan, DNP NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 N 13th Ave Ste 204, Upland, CA 91786 Phone: 909-920-0525
Dani Achi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1655 N Mountain Ave Ste 113, Upland, CA 91784 Phone: 909-377-0030
Mrs. Mina Grasso, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1113 Alta Ave Ste 210, Upland, Upland, CA 91786 Phone: 909-982-1074 Fax: 909-982-3104

Mrs Mary Jane Relampagos Mancuso, FNP - Medicare Nurse Practitioner in Upland, CA