Mr Jason Kenneth Agustin, PA-C - Medicare Physician Assistant in San Gabriel, CA

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Mr Jason Kenneth Agustin, PA-C is a medicare enrolled "Physician Assistant - Medical" in San Gabriel, California. He graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Advanced Lung Center Medical Group Inc. and his current practice location is 136 Bridge St, San Gabriel, California. You can reach out to his office (for appointments etc.) via phone at (562) 833-0184.

Mr Jason Kenneth Agustin is licensed to practice in California (license number PA20040) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861637274.

Contact Information

Mr Jason Kenneth Agustin, PA-C
136 Bridge St,
San Gabriel, CA 91775-2720
(562) 833-0184
Not Available

Map and Direction




Provider's Profile

Full NameMr Jason Kenneth Agustin
GenderMale
SpecialityPhysician Assistant
Experience18 Years
Location136 Bridge St, San Gabriel, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jason Kenneth Agustin graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1861637274
  • Provider Enumeration Date: 12/15/2008
  • Last Update Date: 05/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143358705
  • Enrollment ID: I20100503000534

Medical Identifiers

Medical identifiers for Mr Jason Kenneth Agustin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861637274NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA20040 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern California Hospital At HollywoodHollywood, CAHospital
L A Downtown Medical CenterLos angeles, CAHospital
Kaiser Foundation Hospital - West LaLos angeles, CAHospital
Centinela Hospital Medical CenterInglewood, CAHospital
College Medical CenterLong beach, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Lung Center Medical Group Inc.40825081978

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. Mr Jason Kenneth Agustin allows following entities to bill medicare on his behalf.
Entity NameAdvanced Lung Center Medical Group Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164593323
PECOS PAC ID: 4082508197
Enrollment ID: O20040210000876
Entity NameSharwin Tafazoli Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447806278
PECOS PAC ID: 8729416953
Enrollment ID: O20200320002154

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. Mr Jason Kenneth Agustin 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 AddressPractice Location Address
Mr Jason Kenneth Agustin, PA-C
136 Bridge St,
San Gabriel, CA 91775-2720

Ph: (562) 833-0184		Mr Jason Kenneth Agustin, PA-C
136 Bridge St,
San Gabriel, CA 91775-2720

Ph: (562) 833-0184

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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