Cynthia Gutierrez, PMHNP-BC in San Dimas, CA - Medicare Nurse Practitioner

Cynthia Gutierrez, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Dimas, California. Her current practice location is 187 E Commercial St, San Dimas, California. You can reach out to her office (for appointments etc.) via phone at (626) 388-7605.

Cynthia Gutierrez is licensed to practice in California (license number 95032986) 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 1114737822.

Contact Information

	Cynthia Gutierrez, PMHNP-BC
	187 E Commercial St, San Dimas, CA 91773-5001
	(626) 388-7605
	Not Available

Map and Direction

Provider's Profile

Full Name	Cynthia Gutierrez
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	187 E Commercial St, San Dimas, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114737822
Provider Enumeration Date: 01/14/2025
Last Update Date: 01/14/2025

Medicare PECOS Information:

PECOS PAC ID: 5597286955
Enrollment ID: I20250303000902

Medical Identifiers

Medical identifiers for Cynthia Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114737822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95032986 (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. Cynthia Gutierrez allows following entities to bill medicare on her behalf.

Entity Name	Ehab Yacoub Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071

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. Cynthia Gutierrez 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
Cynthia Gutierrez, PMHNP-BC 187 E Commercial St, San Dimas, CA 91773-5001 Ph: (626) 388-7605	Cynthia Gutierrez, PMHNP-BC 187 E Commercial St, San Dimas, CA 91773-5001 Ph: (626) 388-7605

Reviews and Comments

Nurse Practitioner Nurses in San Dimas, CA

Karen Renee Manson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 W Arrow Hwy Ste 106, San Dimas, CA 91773 Phone: 909-592-9246 Fax: 909-592-9248
Shuhua Guo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 981 W Arrow Hwy # 118, San Dimas, CA 91773 Phone: 626-265-6371
Gia Han Ngoc Nguyen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1330 W Covina Blvd Ste 105106, San Dimas, CA 91773 Phone: 626-963-7675
Lana Madanat, MSN, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1330 W Covina Blvd Ste 106, San Dimas, CA 91773 Phone: 909-599-6876
Megan Justine Trono, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 914 Calle Primavera, San Dimas, CA 91773 Phone: 909-575-7483
Bassam Aziz, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1350 W Covina Blvd, San Dimas, CA 91773 Phone: 310-592-7149

Cynthia Gutierrez, PMHNP-BC - Medicare Nurse Practitioner in San Dimas, CA