Benjamin Morales Manacop Iii, in Colton, CA - Medicare Nurse Practitioner

Benjamin Morales Manacop Iii, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Colton, California. His current practice location is 1007 E Cooley Dr Ste 103, Colton, California. You can reach out to his office (for appointments etc.) via phone at (951) 727-6460.

Benjamin Morales Manacop Iii is licensed to practice in California (license number 95030284) 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 1750152344.

Contact Information

	Benjamin Morales Manacop Iii,
	1007 E Cooley Dr Ste 103, Colton, CA 92324-3901
	(951) 727-6460
	Not Available

Map and Direction

Provider's Profile

Full Name	Benjamin Morales Manacop Iii
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1007 E Cooley Dr Ste 103, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750152344
Provider Enumeration Date: 01/11/2024
Last Update Date: 01/20/2025

Medicare PECOS Information:

PECOS PAC ID: 9638697386
Enrollment ID: I20250515003419

Medical Identifiers

Medical identifiers for Benjamin Morales Manacop Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750152344	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WX0200X	Registered Nurse - Oncology	631790 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95030284 (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. Benjamin Morales Manacop Iii allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Benjamin Morales Manacop Iii 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
Benjamin Morales Manacop Iii, 1007 E Cooley Dr Ste 103, Colton, CA 92324-3901 Ph: (951) 727-6460	Benjamin Morales Manacop Iii, 1007 E Cooley Dr Ste 103, Colton, CA 92324-3901 Ph: (951) 727-6460

Reviews and Comments

Nurse Practitioner Nurses in Colton, CA

Mr. Raymond Balagtas Tinio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 829 N La Cadena Dr, Colton, CA 92324 Phone: 562-310-5772 Fax: 818-752-9911
Mrs. Esther Y Lo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1181 N Mount Vernon Ave, Colton, CA 92324 Phone: 909-498-2356 Fax: 877-824-9080
Ms. Maria R Lawrence, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Center For Employee Health And Wellness, Colton, CA 92324 Phone: 909-580-1701 Fax: 909-580-1359
Venice Ababat, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1449 Linville Ln, Colton, CA 92324 Phone: 909-835-8864
Nicole Genevieve Williams, MD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2186 Fax: 909-580-3814
Jane Nwokeabia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145
Adaobi Maureen Adimorah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145 Fax: 909-580-2165

Benjamin Morales Manacop Iii, - Medicare Nurse Practitioner in Colton, CA