Joe Luis Pantoja, MD in Moreno Valley, CA

Joe Luis Pantoja, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Moreno Valley, California. His current practice location is 27200 Iris Ave # Mob2, Moreno Valley, California. You can reach out to his office (for appointments etc.) via phone at (951) 897-5671.

Joe Luis Pantoja is licensed to practice in California (license number A152945) 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 1174985121.

Contact Information

	Joe Luis Pantoja, MD
	27200 Iris Ave # Mob2, Moreno Valley, CA 92555-4803
	(951) 897-5671
	Not Available

Map and Direction

Physician's Profile

Full Name	Joe Luis Pantoja
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	27200 Iris Ave # Mob2, Moreno Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174985121
Provider Enumeration Date: 03/28/2016
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 3971856485
Enrollment ID: I20190418000370

Medical Identifiers

Medical identifiers for Joe Luis Pantoja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174985121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	A152945 (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. Joe Luis Pantoja allows following entities to bill medicare on his 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. Joe Luis Pantoja 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
Joe Luis Pantoja, MD 27200 Iris Ave # Mob2, Moreno Valley, CA 92555-4803 Ph: (951) 897-5671	Joe Luis Pantoja, MD 27200 Iris Ave # Mob2, Moreno Valley, CA 92555-4803 Ph: (951) 897-5671

Reviews and Comments

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Joe Luis Pantoja, MD - Medicare Surgery in Moreno Valley, CA