| Jose Banuelos, PMHNP-BC, FNP-C | |
|
69175 Ramon Rd Bldg A, Cathedral City, CA 92234-3344 | |
| (760) 321-6776 | |
| Not Available |
| Full Name | Jose Banuelos |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 69175 Ramon Rd Bldg A, Cathedral City, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972165660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95013880 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 95013880 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sac Health System | 4385533579 | 170 |
| Entity Name | Borrego Community Health Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144165 PECOS PAC ID: 1759299944 Enrollment ID: O20040122000961 |
| Entity Name | County Of Riverside |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
| Entity Name | Sac Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608 |
| Entity Name | Dap Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306464326 PECOS PAC ID: 6002989522 Enrollment ID: O20100608000193 |
| 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 |
Brandi Marie Teegarden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 68555 Ramon Rd, Cathedral City, CA 92234 Phone: 760-507-3310 | |
Mrs. Laurie S. Hannan-reagan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 67780 E Palm Canyon Dr, Cathedral City, CA 92234 Phone: 760-773-1680 | |
Mrs. Monique Mester-robertson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 67780 E Palm Canyon Dr, Ste. 100, Cathedral City, CA 92234 Phone: 760-328-9312 | |
Damiano De Sano Iocovozzi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34131 Date Palm Dr, Cathedral City, CA 92234 Phone: 760-770-4600 Fax: 760-770-1564 | |
Emma Bermudez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 69175 Ramon Rd Bldg A, Cathedral City, CA 92234 Phone: 714-404-1007 | |
Jayne Ranee Antolin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 69175 Ramon Rd Bldg A, Cathedral City, CA 92234 Phone: 760-321-6776 | |
Amir Hodge, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 68860 Perez Rd, Cathedral City, CA 92234 Phone: 760-328-4499 Fax: 760-320-2725 |