Jose Banuelos, PMHNP-BC, FNP-C is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Cathedral City, California. His current practice location is
69175 Ramon Rd Bldg A, Cathedral City, California. You can reach out to his office (for appointments etc.) via phone at
(760) 321-6776.
Jose Banuelos is licensed to practice in California (license number 95013880) 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 1972165660.
Provider's Profile
Full Name | Jose Banuelos |
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Gender | Male |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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Location | 69175 Ramon Rd Bldg A, Cathedral City, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972165660
- Provider Enumeration Date: 07/02/2019
- Last Update Date: 06/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456758192
- Enrollment ID: I20210923001592
Medical Identifiers
Medical identifiers for Jose Banuelos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972165660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 95013880 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 888395 (Nevada) | Secondary |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 95013880 (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. Jose Banuelos allows following entities to bill medicare on his behalf.
Entity Name | Borrego Community Health Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134144165 PECOS PAC ID: 1759299944 Enrollment ID: O20040122000961 |
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Entity Name | County Of Riverside |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
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Entity Name | Sac Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608 |
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Entity Name | Dap Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306464326 PECOS PAC ID: 6002989522 Enrollment ID: O20100608000193 |
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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. Jose Banuelos 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 |
Jose Banuelos, PMHNP-BC, FNP-C 69175 Ramon Rd Bldg A, Cathedral City, CA 92234-3344 Ph: () - | Jose Banuelos, PMHNP-BC, FNP-C 69175 Ramon Rd Bldg A, Cathedral City, CA 92234-3344 Ph: (760) 321-6776 |
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