Joana Lynn Vicencio Magno, FNP in San Diego, CA

Joana Lynn Vicencio Magno, FNP is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. Her current practice location is 6161 Fairmount Ave Apt 136, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 739-1574.

Joana Lynn Vicencio Magno is licensed to practice in California (license number 95023407) 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 1619671377.

Contact Information

	Joana Lynn Vicencio Magno, FNP
	6161 Fairmount Ave Apt 136, San Diego, CA 92120-3599
	(619) 739-1574
	Not Available

Map and Direction

Provider's Profile

Full Name	Joana Lynn Vicencio Magno
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6161 Fairmount Ave Apt 136, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619671377
Provider Enumeration Date: 03/28/2023
Last Update Date: 03/28/2023

Medicare PECOS Information:

PECOS PAC ID: 0941721468
Enrollment ID: I20250312002707

Medical Identifiers

Medical identifiers for Joana Lynn Vicencio Magno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619671377	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95023407 (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. Joana Lynn Vicencio Magno allows following entities to bill medicare on her behalf.

Entity Name	Global Wound Care Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871

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. Joana Lynn Vicencio Magno 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
Joana Lynn Vicencio Magno, FNP 6161 Fairmount Ave Apt 136, San Diego, CA 92120-3599 Ph: (619) 739-1574	Joana Lynn Vicencio Magno, FNP 6161 Fairmount Ave Apt 136, San Diego, CA 92120-3599 Ph: (619) 739-1574

Reviews and Comments

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Joana Lynn Vicencio Magno, FNP - Medicare Nurse Practitioner in San Diego, CA