Mr Victor Lee Ilog, FNP in El Paso, TX - Medicare Nurse Practitioner

Mr Victor Lee Ilog, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in El Paso, Texas. His current practice location is 6028 Surety Dr, El Paso, Texas. You can reach out to his office (for appointments etc.) via phone at (915) 544-3500.

Mr Victor Lee Ilog is licensed to practice in Texas (license number AP136515) 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 1134628563.

Contact Information

	Mr Victor Lee Ilog, FNP
	6028 Surety Dr, El Paso, TX 79905-2018
	(915) 544-3500
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Victor Lee Ilog
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6028 Surety Dr, El Paso, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134628563
Provider Enumeration Date: 02/12/2018
Last Update Date: 09/15/2021

Medicare PECOS Information:

PECOS PAC ID: 0446511703
Enrollment ID: I20180228002948

Medical Identifiers

Medical identifiers for Mr Victor Lee Ilog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134628563	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CNP-03539 (New Mexico)	Secondary
363LF0000X	Nurse Practitioner - Family	AP136515 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	CNP-03539 (New Mexico)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP136515 (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 Victor Lee Ilog allows following entities to bill medicare on his behalf.

Entity Name	Joseph B Furlong Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154356087 PECOS PAC ID: 1759381395 Enrollment ID: O20070430000602

Entity Name	Sunwest Behavioral Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053578021 PECOS PAC ID: 9931273919 Enrollment ID: O20080808000679

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

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 Victor Lee Ilog 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 Victor Lee Ilog, FNP 6028 Surety Dr, El Paso, TX 79905-2018 Ph: (915) 544-3500	Mr Victor Lee Ilog, FNP 6028 Surety Dr, El Paso, TX 79905-2018 Ph: (915) 544-3500

Reviews and Comments

Nurse Practitioner Nurses in El Paso, TX

Ms. Luelen D Cunyus, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8269 N Loop Dr, El Paso, TX 79907 Phone: 915-591-1615 Fax: 915-591-2875
Mirabelle Nofeh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11450 Gateway Blvd N Ste 1100, El Paso, TX 79934 Phone: 915-271-4635
Joseph Jeffrey Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Alberta Ave, El Paso, TX 79905 Phone: 915-215-5400 Fax: 915-215-8632
Andres Baeza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Montana Ave, El Paso, TX 79902 Phone: 915-887-3410
Bryan Botello, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4305 N Mesa St, El Paso, TX 79902 Phone: 915-532-2477 Fax: 915-242-6461
Imelda V Wallace, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11860 Vista Del Sol Dr Ste 150, El Paso, TX 79936 Phone: 915-808-4000
Kathryn Josephine Goss, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4845 Alameda Ave, El Paso, TX 79905 Phone: 915-298-5444

Mr Victor Lee Ilog, FNP - Medicare Nurse Practitioner in El Paso, TX