Dr Carmelita Antoquia Raymundo-devera, MD in Hesperia, CA

Dr Carmelita Antoquia Raymundo-devera, MD is a medicare enrolled "Pediatrics" physician in Hesperia, California. Her current practice location is 16455 Main St., Suite 1, Hesperia, California. You can reach out to her office (for appointments etc.) via phone at (760) 947-2161.

Dr Carmelita Antoquia Raymundo-devera is licensed to practice in California (license number A55746) 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 1417033374.

Contact Information

	Dr Carmelita Antoquia Raymundo-devera, MD
	16455 Main St., Suite 1, Hesperia, CA 92345
	(760) 947-2161
	(760) 947-3673

Map and Direction

Physician's Profile

Full Name	Dr Carmelita Antoquia Raymundo-devera
Gender	Female
Speciality	Pediatrics
Location	16455 Main St., Hesperia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417033374
Provider Enumeration Date: 10/31/2006
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 7416044672
Enrollment ID: I20071105000240

Medical Identifiers

Medical identifiers for Dr Carmelita Antoquia Raymundo-devera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417033374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A55746 (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 Carmelita Antoquia Raymundo-devera 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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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 Carmelita Antoquia Raymundo-devera 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 Carmelita Antoquia Raymundo-devera, MD 685 Carnegie Dr., Suite 230, San Bernardino, CA 92408-3583 Ph: (909) 890-0407	Dr Carmelita Antoquia Raymundo-devera, MD 16455 Main St., Suite 1, Hesperia, CA 92345 Ph: (760) 947-2161

Reviews and Comments

Pediatrics Doctors in Hesperia, CA

Dr. Bryan Andrew Mitton, MD, PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 12021 Jacaranda Ave Ste 101, Hesperia, CA 92345 Phone: 760-956-5057
Aparna Sharma, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15398 Main St, Ste. B, Hesperia, CA 92345 Phone: 760-949-4118 Fax: 760-949-0987
Dr. Suehong Tao, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 17083 Main St, Hesperia, CA 92345 Phone: 760-241-6666 Fax: 760-947-5619
Dr. Saheb Sahu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11919 Hesperia Rd, Hesperia, CA 92345 Phone: 760-948-1454 Fax: 760-948-6100
Mrs. Cheryl Ann Emoto, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16455 Main St, Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673
Hanser Beunes Soler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16455 Main St Ste 1, Hesperia, CA 92345 Phone: 760-947-2161

Dr Carmelita Antoquia Raymundo-devera, MD - Medicare Pediatrics in Hesperia, CA