Jose Carlos Chavez, NP in San Bernardino, CA - Medicare Nurse Practitioner

Jose Carlos Chavez, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in San Bernardino, California. His current practice location is 850 W Highland Ave, Suite A, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 886-7576.

Jose Carlos Chavez is licensed to practice in California (license number 14641) 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 1629234893.

Contact Information

	Jose Carlos Chavez, NP
	850 W Highland Ave, Suite A, San Bernardino, CA 92405-3855
	(909) 886-7576
	Not Available

Map and Direction

Provider's Profile

Full Name	Jose Carlos Chavez
Gender	Male
Speciality	Nurse Practitioner - Women's Health
Location	850 W Highland Ave, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629234893
Provider Enumeration Date: 08/06/2008
Last Update Date: 03/16/2026

Medicare PECOS Information:

PECOS PAC ID: 2961548037
Enrollment ID: I20091002000137

Medical Identifiers

Medical identifiers for Jose Carlos Chavez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629234893	NPI	-	NPPES
1629234893	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	14641 (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 Carlos Chavez allows following entities to bill medicare on his behalf.

Entity Name	County Of San Bernardino
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164467023 PECOS PAC ID: 3870499130 Enrollment ID: O20031209000420

Entity Name	Viruch Vachirakorntong Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992754899 PECOS PAC ID: 0941210751 Enrollment ID: O20060424000653

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 Carlos Chavez 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 Carlos Chavez, NP 17299 Cremello Way, Moreno Valley, CA 92555-3369 Ph: () -	Jose Carlos Chavez, NP 850 W Highland Ave, Suite A, San Bernardino, CA 92405-3855 Ph: (909) 886-7576

Reviews and Comments

Nurse Practitioner Nurses in San Bernardino, CA

Ms. Mariana Concepcion Moualem, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Western Ave Ste 305, San Bernardino, CA 92411 Phone: 909-880-9993 Fax: 909-880-9998
Brenda Jean Boyle, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1455 East 3rd Street, San Bernardino, CA 92410 Phone: 909-382-7100 Fax: 909-382-7103
Mrs. Jocelyn Ellen Seitz-keough, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1998 N Arrowhead Ave, San Bernardino, CA 92405 Phone: 909-882-0988
Laura Elise Hiday, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Childrens Assessment Ctr, 700 E Gilbert St, San Bernardino, CA 92415 Phone: 909-382-3535
Laura Andrews, NURSE PRACTIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 598 N F St, San Bernardino, CA 92410 Phone: 909-888-8152 Fax: 909-884-7530
Ms. Dawn Michelle Downs, MSN, FNP-BC, RN, CCR Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18592 Cajon Blvd, San Bernardino, CA 92407 Phone: 951-283-9861
Saul Ramirez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Western Ave Ste 401, San Bernardino, CA 92411 Phone: 909-880-3677

Jose Carlos Chavez, NP - Medicare Nurse Practitioner in San Bernardino, CA