Justene Ann Ilog, PMHNP in Vista, CA - Medicare Nurse Practitioner

Justene Ann Ilog, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Vista, California. Her current practice location is 550 W Vista Way Ste 103, Vista, California. You can reach out to her office (for appointments etc.) via phone at (760) 295-8727.

Justene Ann Ilog is licensed to practice in California (license number 95025318) 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 1598451445.

Contact Information

	Justene Ann Ilog, PMHNP
	550 W Vista Way Ste 103, Vista, CA 92083-5735
	(760) 295-8727
	Not Available

Map and Direction

Provider's Profile

Full Name	Justene Ann Ilog
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	550 W Vista Way Ste 103, Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598451445
Provider Enumeration Date: 04/13/2023
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3173057783
Enrollment ID: I20241105001735

Medical Identifiers

Medical identifiers for Justene Ann Ilog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598451445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	95219111 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95025318 (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. Justene Ann Ilog allows following entities to bill medicare on her behalf.

Entity Name	Monica Perlman Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134309305 PECOS PAC ID: 8820035884 Enrollment ID: O20050411001333

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. Justene Ann Ilog 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
Justene Ann Ilog, PMHNP 3927 Mesa Dr Apt 105, Oceanside, CA 92056-2624 Ph: (951) 768-0182	Justene Ann Ilog, PMHNP 550 W Vista Way Ste 103, Vista, CA 92083-5735 Ph: (760) 295-8727

Reviews and Comments

Nurse Practitioner Nurses in Vista, CA

Patricia R Holland, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3713
Miss Lorrie Lee York, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1237 Green Oak Rd, Vista, CA 92081 Phone: 760-598-2803 Fax: 760-598-5347
Ingrid Dekkers-o'hare, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000
Pamela N Kingery, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-407-1220
Gee Yeoun Dugan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000
Judy Puryear, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way, #250, Vista, CA 92083 Phone: 760-724-7171 Fax: 760-941-3986
Rana Safiedine, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 326 S Melrose Dr Fl 2, Vista, CA 92081 Phone: 760-291-6700 Fax: 760-330-9331

Justene Ann Ilog, PMHNP - Medicare Nurse Practitioner in Vista, CA