Rowena San Juan Dacanay-herman, NP is a medicare enrolled "Nurse Practitioner - Family" in Spring Valley, California. Her current practice location is
2457 Trace Rd, Spring Valley, California. You can reach out to her office (for appointments etc.) via phone at
(619) 772-9466.
Rowena San Juan Dacanay-herman is licensed to practice in California (license number 22378) 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 1144689175.
Provider's Profile
| Full Name | Rowena San Juan Dacanay-herman |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2457 Trace Rd, Spring Valley, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144689175
- Provider Enumeration Date: 02/18/2016
- Last Update Date: 02/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 6709110059
- Enrollment ID: I20190620002357
Medical Identifiers
Medical identifiers for Rowena San Juan Dacanay-herman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144689175 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 22378 (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. Rowena San Juan Dacanay-herman allows following entities to bill medicare on her behalf.
| Entity Name | Operation Samahan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275617169
PECOS PAC ID: 7911932645
Enrollment ID: O20051001000054 |
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| Entity Name | Somagen Healthcare Ii Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316225147
PECOS PAC ID: 4981877735
Enrollment ID: O20111024000461 |
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| Entity Name | Somagen Healthcare Iii Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558788620
PECOS PAC ID: 8921225830
Enrollment ID: O20140815001327 |
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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. Rowena San Juan Dacanay-herman 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 |
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Rowena San Juan Dacanay-herman, NP
2457 Trace Rd,
Spring Valley, CA 91978-1928
Ph: () - | Rowena San Juan Dacanay-herman, NP
2457 Trace Rd,
Spring Valley, CA 91978-1928
Ph: (619) 772-9466 |
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