Dr Juan Fernando Lizarraga, MD is a medicare enrolled "General Practice" physician in Colton, California. His current practice location is
895 W. Valley Blvd., Colton, California. You can reach out to his office (for appointments etc.) via phone at
(562) 654-6855.
Dr Juan Fernando Lizarraga is licensed to practice in California (license number A49181) 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 1417126764.
Physician's Profile
Full Name | Dr Juan Fernando Lizarraga |
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Gender | Male |
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Speciality | General Practice |
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Location | 895 W. Valley Blvd., Colton, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417126764
- Provider Enumeration Date: 02/20/2008
- Last Update Date: 05/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 8325093966
- Enrollment ID: I20100729000044
Medical Identifiers
Medical identifiers for Dr Juan Fernando Lizarraga such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417126764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | A49181 (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. Dr Juan Fernando Lizarraga allows following entities to bill medicare on his behalf.
Entity Name | Lizarraga Medical Center Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831668292 PECOS PAC ID: 8628314366 Enrollment ID: O20190116003115 |
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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. Dr Juan Fernando Lizarraga 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 |
Dr Juan Fernando Lizarraga, MD 8915 W, Valley Blvd, Colton, CA 92324-4809 Ph: (909) 824-3389 | Dr Juan Fernando Lizarraga, MD 895 W. Valley Blvd., Colton, CA 92324-4809 Ph: (562) 654-6855 |
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