Juvid Ceballos Virtudes, RN in Fullerton, CA

Juvid Ceballos Virtudes, RN is a medicare enrolled "Registered Nurse - Critical Care Medicine" in Fullerton, California. His current practice location is 2289 Root St, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (714) 261-0908.

Juvid Ceballos Virtudes is licensed to practice in California (license number 95086357) 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 1528829173.

Contact Information

	Juvid Ceballos Virtudes, RN
	2289 Root St, Fullerton, CA 92833-2108
	(714) 261-0908
	Not Available

Map and Direction

Provider's Profile

Full Name	Juvid Ceballos Virtudes
Gender	Male
Speciality	Registered Nurse - Critical Care Medicine
Location	2289 Root St, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528829173
Provider Enumeration Date: 01/22/2024
Last Update Date: 01/22/2024

Medicare PECOS Information:

PECOS PAC ID: 8820507130
Enrollment ID: I20250529003286

Medical Identifiers

Medical identifiers for Juvid Ceballos Virtudes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528829173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	95086357 (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. Juvid Ceballos Virtudes allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Juvid Ceballos Virtudes 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
Juvid Ceballos Virtudes, RN 2289 Root St, Fullerton, CA 92833-2108 Ph: (714) 261-0908	Juvid Ceballos Virtudes, RN 2289 Root St, Fullerton, CA 92833-2108 Ph: (714) 261-0908

Reviews and Comments

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Juvid Ceballos Virtudes, RN - Medicare Registered Nurse in Fullerton, CA