Pepito Jimenez Decena Jr, LPN is a
Clinical Nurse Specialist - Home Health based in Herndon, Virginia. Pepito Jimenez Decena Jr is licensed to practice in Virginia (license number 0002093395) and his current practice location is
13800 Coppermine Rd # 124-a, Herndon, Virginia. He can be reached at his office (for appointments etc.) via phone at
(571) 508-7144.
NPI number for Pepito Jimenez Decena Jr is 1639787377 and his current mailing address is 910 W Redwood Rd, Sterling, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639787377.
Provider's Profile
| Full Name | Pepito Jimenez Decena Jr |
|---|
| Gender | Male |
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| Speciality | Clinical Nurse Specialist - Home Health |
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| Location | 13800 Coppermine Rd # 124-a, Herndon, Virginia |
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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: 1639787377
- Provider Enumeration Date: 07/20/2020
- Last Update Date: 07/20/2020
Medical Identifiers
Medical identifiers for Pepito Jimenez Decena Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639787377 | NPI | - | NPPES |
| 0000 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SH0200X | Clinical Nurse Specialist - Home Health | 0002093395 (Virginia) | 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. Pepito Jimenez Decena 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 |
|---|
Pepito Jimenez Decena Jr, LPN
910 W Redwood Rd,
Sterling, VA 20164-5117
Ph: (571) 508-7144 | Pepito Jimenez Decena Jr, LPN
13800 Coppermine Rd # 124-a,
Herndon, VA 20171-6163
Ph: (571) 508-7144 |
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