Isaias Rodolfo Vargas Jr, CRNP in Victorville, CA

Isaias Rodolfo Vargas Jr, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Victorville, California. His current practice location is 16850 Bear Valley Rd, Victorville, California. You can reach out to his office (for appointments etc.) via phone at (760) 241-8000.

Isaias Rodolfo Vargas Jr is licensed to practice in California (license number NP95011154) 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 1992296545.

Contact Information

	Isaias Rodolfo Vargas Jr, CRNP
	16850 Bear Valley Rd, Victorville, CA 92395-5795
	(760) 241-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Isaias Rodolfo Vargas Jr
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	16850 Bear Valley Rd, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992296545
Provider Enumeration Date: 05/18/2018
Last Update Date: 06/20/2023

Medicare PECOS Information:

PECOS PAC ID: 4981079233
Enrollment ID: I20230927002516

Medical Identifiers

Medical identifiers for Isaias Rodolfo Vargas Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992296545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	SP018742 (Pennsylvania)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	NP95011154 (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. Isaias Rodolfo Vargas Jr 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

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. Isaias Rodolfo Vargas Jr 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
Isaias Rodolfo Vargas Jr, CRNP Po Box 1786, Rancho Cucamonga, CA 91729-1786 Ph: (702) 675-0557	Isaias Rodolfo Vargas Jr, CRNP 16850 Bear Valley Rd, Victorville, CA 92395-5795 Ph: (760) 241-8000

Reviews and Comments

Nurse Practitioner Nurses in Victorville, CA

Bukola Gross, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13010 Hesperia Rd Ste 501, Victorville, CA 92395 Phone: 760-881-3717
Jessica C Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-241-0393
Mrs. Shawntel Logan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12760 Hesperia Rd Ste C, Victorville, CA 92395 Phone: 760-338-0911
Krystle Ann Guzman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000
Beth Ann Johnson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12830 Hesperia Rd, Suite C-d-e, Victorville, CA 92395 Phone: 760-684-8999
Noarie Iverie Magoun, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12677 Hesperia Rd Ste 130, Victorville, CA 92395 Phone: 760-241-7763 Fax: 760-241-6383
Jose Manuel Ortega, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000

Isaias Rodolfo Vargas Jr, CRNP - Medicare Nurse Practitioner in Victorville, CA