Mr Job Portillo Lopez, FNP in Indio, CA - Medicare Nurse Practitioner

Mr Job Portillo Lopez, FNP is a medicare enrolled "Nurse Practitioner - Family" in Indio, California. His current practice location is 81767 Dr Carreon Blvd Ste 102, Indio, California. You can reach out to his office (for appointments etc.) via phone at (760) 863-5355.

Mr Job Portillo Lopez is licensed to practice in California (license number 9223) 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 1871565796.

Contact Information

	Mr Job Portillo Lopez, FNP
	81767 Dr Carreon Blvd Ste 102, Indio, CA 92201-5598
	(760) 863-5355
	(760) 863-5885

Map and Direction

Provider's Profile

Full Name	Mr Job Portillo Lopez
Gender	Male
Speciality	Nurse Practitioner - Family
Location	81767 Dr Carreon Blvd Ste 102, Indio, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871565796
Provider Enumeration Date: 02/03/2006
Last Update Date: 08/17/2023

Medicare PECOS Information:

PECOS PAC ID: 0042251878
Enrollment ID: I20050520001047

Medical Identifiers

Medical identifiers for Mr Job Portillo Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871565796	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NPF9223 RN643640 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	9223 (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 Job Portillo Lopez allows following entities to bill medicare on his behalf.

Entity Name	Albert Anderson Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700083771 PECOS PAC ID: 2567551179 Enrollment ID: O20071205000175

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 Job Portillo Lopez 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 Job Portillo Lopez, FNP 80834 Gentle Breeze Dr, Indio, CA 92201-8478 Ph: (760) 578-5612	Mr Job Portillo Lopez, FNP 81767 Dr Carreon Blvd Ste 102, Indio, CA 92201-5598 Ph: (760) 863-5355

Reviews and Comments

Nurse Practitioner Nurses in Indio, CA

Mr. Steven Joseph Hernandez, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 47111 Monroe St, Indio, CA 92201 Phone: 760-775-8111 Fax: 760-775-8064
Laura Conley-prince, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 47915 Oasis St, Indio, CA 92201 Phone: 602-650-1212
Mr. Daniel Jay Gendron, APRN-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 47111 Monroe St, Indio, CA 92201 Phone: 760-775-8111
John-john Loreto, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47111 Monroe St, Indio, CA 92201 Phone: 760-775-8111
Ms. Min Cen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 81709 Dr Carreon Blvd Ste E1, Indio, CA 92201 Phone: 913-752-7002 Fax: 866-997-9757
Mrs. Stacie Lynn Nellis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80495 Us Highway 111, Indio, CA 92201 Phone: 760-347-2887
Abdul Majid Aziz, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 81557 Doctor Carreon Blvd Ste C9, Indio, CA 92201 Phone: 572-435-5836

Mr Job Portillo Lopez, FNP - Medicare Nurse Practitioner in Indio, CA