Stp Journey Gulles, NP - Medicare Nurse Practitioner in Riverside, CA

  1. Home
  2. Nurse Practitioner
  3. CA
  4. Riverside
Stp Journey Gulles, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Riverside, California. He graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ehab Yacoub Md Inc and his current practice location is 4100 Latham St Ste E, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 393-1333.

Stp Journey Gulles is licensed to practice in California (license number 95020502) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013653286.

Contact Information

Stp Journey Gulles, NP
4100 Latham St Ste E,
Riverside, CA 92501-1733
(951) 393-1333
Not Available

Map and Direction




Provider's Profile

Full NameStp Journey Gulles
GenderMale
SpecialityNurse Practitioner
Experience19 Years
Location4100 Latham St Ste E, Riverside, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stp Journey Gulles graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1013653286
  • Provider Enumeration Date: 05/10/2022
  • Last Update Date: 10/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5890172217
  • Enrollment ID: I20220524001176

Medical Identifiers

Medical identifiers for Stp Journey Gulles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013653286NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 95020502 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ehab Yacoub Md Inc5092099523179

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. Stp Journey Gulles allows following entities to bill medicare on his behalf.
Entity NameEhab Yacoub MD Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417373713
PECOS PAC ID: 5092099523
Enrollment ID: O20170301002071
Entity NameSenior Doc Integrated Med PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396526026
PECOS PAC ID: 3375990286
Enrollment ID: O20231115001383
Entity NameNeuromatters and Wellness LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538931993
PECOS PAC ID: 3072957885
Enrollment ID: O20240220004761

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. Stp Journey Gulles 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 AddressPractice Location Address
Stp Journey Gulles, NP
6400 Shafer Ct Ste 700,
Rosemont, IL 60018-4989

Ph: (346) 376-1702		Stp Journey Gulles, NP
4100 Latham St Ste E,
Riverside, CA 92501-1733

Ph: (951) 393-1333

Reviews and Comments


Nurse Practitioner Nurses in Riverside, CA

Alice Chinyere Echeta, FNP, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4960 Arlington Ave Ste B, Riverside, CA 92504
Phone: 951-341-8930    
Obianuju Rivera, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3801 University Ave Ste 270, Riverside, CA 92501
Phone: 855-427-2778    Fax: 951-530-3997
Luamy Gabriela Cornejo, PNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4440 Brockton Ave Ste 100, Riverside, CA 92501
Phone: 951-684-1293    
Christine Pham Duong, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5549 Van Buren Blvd, Riverside, CA 92503
Phone: 951-324-5901    Fax: 877-778-9472
Mrs. Desiree C Nwigwe, APRN, PMHNP, PHN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 9990 County Farm Rd, Riverside, CA 92503
Phone: 951-358-4000    
Namrata Nicole Sihotang, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 19330 Jesse Ln Ste 100, Riverside, CA 92508
Phone: 844-827-8000    
Maiying Her, CPNP-PC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 2933 University Ave, Riverside, CA 92507
Phone: 951-224-8220    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.