Mr Jason Niles Kukas, PMHNP-BC in Upland, CA - Medicare Nurse Practitioner

Mr Jason Niles Kukas, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Upland, California. His current practice location is 954 W Foothill Blvd Ste A, Upland, California. You can reach out to his office (for appointments etc.) via phone at (909) 846-4222.

Mr Jason Niles Kukas is licensed to practice in California (license number 95023040) 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 1437876760.

Contact Information

	Mr Jason Niles Kukas, PMHNP-BC
	954 W Foothill Blvd Ste A, Upland, CA 91786-3782
	(909) 846-4222
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jason Niles Kukas
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	954 W Foothill Blvd Ste A, Upland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437876760
Provider Enumeration Date: 10/26/2022
Last Update Date: 10/26/2022

Medicare PECOS Information:

PECOS PAC ID: 6608246426
Enrollment ID: I20230111002711

Medical Identifiers

Medical identifiers for Mr Jason Niles Kukas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437876760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95023040 (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. Mr Jason Niles Kukas allows following entities to bill medicare on his behalf.

Entity Name	Health Service Alliance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801307368 PECOS PAC ID: 4587642467 Enrollment ID: O20040708000369

Entity Name	Foothills Psychological Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100318000835

Entity Name	Foothills Psychological Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100414000905

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 Niles Kukas 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
Mr Jason Niles Kukas, PMHNP-BC 41500 Washington St Apt E224, Bermuda Dunes, CA 92203-9516 Ph: (760) 989-7608	Mr Jason Niles Kukas, PMHNP-BC 954 W Foothill Blvd Ste A, Upland, CA 91786-3782 Ph: (909) 846-4222

Reviews and Comments

Nurse Practitioner Nurses in Upland, CA

Stephanie J Rasmussen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811
Yusleydys Panade Roman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1020 W 16th St, Upland, CA 91784 Phone: 626-642-6977
Madonna Zand, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1310 San Bernardino Rd, 205, Upland, CA 91786 Phone: 909-981-9991
Michelle Jessica Carhill, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 585 N Mountain Ave, Upland, CA 91786 Phone: 909-608-7546
Bernice Tan, DNP NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 N 13th Ave Ste 204, Upland, CA 91786 Phone: 909-920-0525
Dani Achi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1655 N Mountain Ave Ste 113, Upland, CA 91784 Phone: 909-377-0030
Nicole Mcdonald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1012 W 11th St, Upland, CA 91786 Phone: 909-244-6177

Mr Jason Niles Kukas, PMHNP-BC - Medicare Nurse Practitioner in Upland, CA