Cathleen Vanessa Gutierrez Exconde-mercado, RN, NP in Beaumont, CA

Cathleen Vanessa Gutierrez Exconde-mercado, RN, NP is a medicare enrolled "Nurse Practitioner" in Beaumont, California. Her current practice location is 1620 E 2nd St Ste N, Beaumont, California. You can reach out to her office (for appointments etc.) via phone at (951) 845-6500.

Cathleen Vanessa Gutierrez Exconde-mercado is licensed to practice in California (license number 95023464) 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 1518674605.

Contact Information

	Cathleen Vanessa Gutierrez Exconde-mercado, RN, NP
	1620 E 2nd St Ste N, Beaumont, CA 92223-3172
	(951) 845-6500
	(866) 856-0338

Map and Direction

Provider's Profile

Full Name	Cathleen Vanessa Gutierrez Exconde-mercado
Gender	Female
Speciality	Nurse Practitioner
Location	1620 E 2nd St Ste N, Beaumont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518674605
Provider Enumeration Date: 10/31/2022
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1850765330
Enrollment ID: I20230323002497

Medical Identifiers

Medical identifiers for Cathleen Vanessa Gutierrez Exconde-mercado such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518674605	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F10220152 (California)	Secondary
363L00000X	Nurse Practitioner	95023464 (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. Cathleen Vanessa Gutierrez Exconde-mercado allows following entities to bill medicare on her behalf.

Entity Name	Csi Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930

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. Cathleen Vanessa Gutierrez Exconde-mercado 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
Cathleen Vanessa Gutierrez Exconde-mercado, RN, NP 4798 S Scott Way, Ontario, CA 91762-7365 Ph: (415) 629-0525	Cathleen Vanessa Gutierrez Exconde-mercado, RN, NP 1620 E 2nd St Ste N, Beaumont, CA 92223-3172 Ph: (951) 845-6500

Reviews and Comments

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Cathleen Vanessa Gutierrez Exconde-mercado, RN, NP - Medicare Nurse Practitioner in Beaumont, CA