Mr John Robert San Pedro Faustino, NURSE PRACTITIONER in Humble, TX

Mr John Robert San Pedro Faustino, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Acute Care" in Humble, Texas. His current practice location is 18980 West Memorial Drive, Suite 100, Humble, Texas. You can reach out to his office (for appointments etc.) via phone at (832) 644-8930.

Mr John Robert San Pedro Faustino is licensed to practice in Texas (license number 1071782) 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 1922734755.

Contact Information

	Mr John Robert San Pedro Faustino, NURSE PRACTITIONER
	18980 West Memorial Drive, Suite 100, Humble, TX 77338
	(832) 644-8930
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr John Robert San Pedro Faustino
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	18980 West Memorial Drive, Humble, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922734755
Provider Enumeration Date: 07/25/2022
Last Update Date: 07/25/2022

Medicare PECOS Information:

PECOS PAC ID: 1355725664
Enrollment ID: I20220906003425

Medical Identifiers

Medical identifiers for Mr John Robert San Pedro Faustino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922734755	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1071782 (Texas)	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 John Robert San Pedro Faustino allows following entities to bill medicare on his behalf.

Entity Name	Rajiv Agarwal Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720550015 PECOS PAC ID: 6305184011 Enrollment ID: O20190205000851

Entity Name	Rajiv Agarwal Md Pa
Entity Type	Part B Supplier - Intensive Cardiac Rehabilitation
Entity Identifiers	NPI Number: 1598407017 PECOS PAC ID: 6305184011 Enrollment ID: O20230914001132

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 John Robert San Pedro Faustino 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 John Robert San Pedro Faustino, NURSE PRACTITIONER 3501 Chenevert St Apt 11, Houston, TX 77004-4199 Ph: (818) 505-4857	Mr John Robert San Pedro Faustino, NURSE PRACTITIONER 18980 West Memorial Drive, Suite 100, Humble, TX 77338 Ph: (832) 644-8930

Reviews and Comments

Nurse Practitioner Nurses in Humble, TX

Tyler Walker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1806 Humble Place Dr, Humble, TX 77338 Phone: 281-369-9514
Michael Chen, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18838 S Memorial Dr Ste 106, Humble, TX 77338 Phone: 713-338-6422
Amanda Graff, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22999 Hwy 59 N, Humble, TX 77339 Phone: 281-348-8000
Ruth W Nginyi, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17202 Spirit Falls Ct, Humble, TX 77346 Phone: 832-896-2836
Helen Jackson, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18980 N Memorial Dr Ste 280, Humble, TX 77338 Phone: 713-486-8180 Fax: 713-486-8190
Sandra Norris-deckard, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20550 Townsen Blvd, Humble, TX 77338 Phone: 281-772-8814
Tenille Gibson-farria, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21210 Fox Orchard Ct, Humble, TX 77338 Phone: 832-380-0232

Mr John Robert San Pedro Faustino, NURSE PRACTITIONER - Medicare Nurse Practitioner in Humble, TX