Rupert Fortugaleza, FNP in Los Angeles, CA - Medicare Nurse Practitioner

Rupert Fortugaleza, FNP is a medicare enrolled "Nurse Practitioner" in Los Angeles, California. His current practice location is 2080 Century Park E Ste 710, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 556-7747.

Rupert Fortugaleza is licensed to practice in California (license number 95021994) 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 1013638477.

Contact Information

	Rupert Fortugaleza, FNP
	2080 Century Park E Ste 710, Los Angeles, CA 90067-2010
	(310) 556-7747
	Not Available

Map and Direction

Provider's Profile

Full Name	Rupert Fortugaleza
Gender	Male
Speciality	Nurse Practitioner
Location	2080 Century Park E Ste 710, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013638477
Provider Enumeration Date: 09/06/2022
Last Update Date: 09/06/2022

Medicare PECOS Information:

PECOS PAC ID: 8729431440
Enrollment ID: I20240130001528

Medical Identifiers

Medical identifiers for Rupert Fortugaleza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013638477	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95172294 (California)	Secondary
363L00000X	Nurse Practitioner	95021994 (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. Rupert Fortugaleza allows following entities to bill medicare on his behalf.

Entity Name	Exer Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588901532 PECOS PAC ID: 9032359534 Enrollment ID: O20130705000153

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. Rupert Fortugaleza 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
Rupert Fortugaleza, FNP 2080 Century Park E Ste 710, Los Angeles, CA 90067-2010 Ph: () -	Rupert Fortugaleza, FNP 2080 Century Park E Ste 710, Los Angeles, CA 90067-2010 Ph: (310) 556-7747

Reviews and Comments

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Rupert Fortugaleza, FNP - Medicare Nurse Practitioner in Los Angeles, CA