Veronica Jimenez Portillo, FNP-C in Victorville, CA

Veronica Jimenez Portillo, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Victorville, California. Her current practice location is 17259 Jasmine St Ste B, Victorville, California. You can reach out to her office (for appointments etc.) via phone at (760) 241-4929.

Veronica Jimenez Portillo is licensed to practice in California (license number 95026451) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255014965.

Contact Information

	Veronica Jimenez Portillo, FNP-C
	17259 Jasmine St Ste B, Victorville, CA 92395-7787
	(760) 241-4929
	(760) 241-5950

Map and Direction

Provider's Profile

Full Name	Veronica Jimenez Portillo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	17259 Jasmine St Ste B, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255014965
Provider Enumeration Date: 08/09/2023
Last Update Date: 08/09/2023

Medicare PECOS Information:

PECOS PAC ID: 7618322652
Enrollment ID: I20231011003816

Medical Identifiers

Medical identifiers for Veronica Jimenez Portillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255014965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95026451 (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. Veronica Jimenez Portillo allows following entities to bill medicare on her behalf.

Entity Name	Anupama Sharma Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922212653 PECOS PAC ID: 6406993781 Enrollment ID: O20091019000261

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. Veronica Jimenez Portillo 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
Veronica Jimenez Portillo, FNP-C 10328 Balsam Ave, Hesperia, CA 92345-2814 Ph: (760) 680-9604	Veronica Jimenez Portillo, FNP-C 17259 Jasmine St Ste B, Victorville, CA 92395-7787 Ph: (760) 241-4929

Reviews and Comments

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Veronica Jimenez Portillo, FNP-C - Medicare Nurse Practitioner in Victorville, CA