Mr Johnny Demetria Dauz Iii, FNP-C in Upland, CA

Mr Johnny Demetria Dauz Iii, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Upland, California. His current practice location is 1004 W Foothill Blvd Ste 200, Upland, California. You can reach out to his office (for appointments etc.) via phone at (909) 985-1908.

Mr Johnny Demetria Dauz Iii is licensed to practice in California (license number 95020319) 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 1528342607.

Contact Information

	Mr Johnny Demetria Dauz Iii, FNP-C
	1004 W Foothill Blvd Ste 200, Upland, CA 91786-3791
	(909) 985-1908
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Johnny Demetria Dauz Iii
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1004 W Foothill Blvd Ste 200, 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: 1528342607
Provider Enumeration Date: 10/06/2011
Last Update Date: 03/23/2022

Medicare PECOS Information:

PECOS PAC ID: 5991231383
Enrollment ID: I20241209002828

Medical Identifiers

Medical identifiers for Mr Johnny Demetria Dauz Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528342607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95020319 (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 Johnny Demetria Dauz Iii allows following entities to bill medicare on his behalf.

Entity Name	Gateway Medicor - Rancho Cucamonga Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932974896 PECOS PAC ID: 3476994666 Enrollment ID: O20240520001140

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 Johnny Demetria Dauz Iii 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 Johnny Demetria Dauz Iii, FNP-C 8750 Rolling Hills Dr, Corona, CA 92883-9156 Ph: (408) 688-6807	Mr Johnny Demetria Dauz Iii, FNP-C 1004 W Foothill Blvd Ste 200, Upland, CA 91786-3791 Ph: (909) 985-1908

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 Johnny Demetria Dauz Iii, FNP-C - Medicare Nurse Practitioner in Upland, CA