Alfredo Manuel Portillo, AG-ACNP in Apple Valley, CA

Alfredo Manuel Portillo, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Apple Valley, California. He graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Desert Valley Medical Group Inc and his current practice location is 18300 Ca-18, Apple Valley, California. You can reach out to his office (for appointments etc.) via phone at (760) 242-2311.

Alfredo Manuel Portillo is licensed to practice in California (license number 95026013) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639852635.

Contact Information

	Alfredo Manuel Portillo, AG-ACNP
	18300 Ca-18, Apple Valley, CA 92307
	(760) 242-2311
	Not Available

Map and Direction

Provider's Profile

Full Name	Alfredo Manuel Portillo
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	18300 Ca-18, Apple Valley, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alfredo Manuel Portillo graduated from nursing school in 2022

NPI Data:

NPI Number: 1639852635
Provider Enumeration Date: 08/08/2023
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 4183087513
Enrollment ID: I20230831002966

Medical Identifiers

Medical identifiers for Alfredo Manuel Portillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639852635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95026013 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Desert Valley Hospital	Victorville, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Desert Valley Medical Group Inc	4880595875	70

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. Alfredo Manuel Portillo allows following entities to bill medicare on his behalf.

Entity Name	Desert Valley Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639117864 PECOS PAC ID: 4880595875 Enrollment ID: O20040113000803

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Alfredo Manuel Portillo 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
Alfredo Manuel Portillo, AG-ACNP 18310 Ca-18, Suite B, Apple Valley, CA 92307 Ph: (760) 998-2312	Alfredo Manuel Portillo, AG-ACNP 18300 Ca-18, Apple Valley, CA 92307 Ph: (760) 242-2311

Reviews and Comments

Nurse Practitioner Nurses in Apple Valley, CA

Alma Luna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16143 Kokanee Rd Ste C, Apple Valley, CA 92307 Phone: 760-242-6442
Brenda Ann Marin, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18031 Us Highway 18 Ste C, Apple Valley, CA 92307 Phone: 760-810-7631
Ashly Patricia Cameron, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18523 Corwin Rd Ste H, Apple Valley, CA 92307 Phone: 760-261-8462
Elizabeth Espinoza, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Us Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311
Ijeoma Akwarandu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18031 Outer Hwy 18 Ste D, Apple Valley, CA 92307 Phone: 909-488-8874
Blanca De Jesus Serrano, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307 Phone: 760-242-7777
Katherine H Shields, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19333 Bear Valley Rd, Apple Valley, CA 92308 Phone: 760-956-8700

Alfredo Manuel Portillo, AG-ACNP - Medicare Nurse Practitioner in Apple Valley, CA