Wilian Grijalva, in Bonsall, CA - Medicare Nurse Practitioner

Wilian Grijalva, is a medicare enrolled "Nurse Practitioner - Family" in Bonsall, California. His current practice location is 5459 Meridian Pl, Bonsall, California. You can reach out to his office (for appointments etc.) via phone at (949) 547-0486.

Wilian Grijalva is licensed to practice in California (license number 95026675) 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 1831872357.

Contact Information

	Wilian Grijalva,
	5459 Meridian Pl, Bonsall, CA 92003-3739
	(949) 547-0486
	Not Available

Map and Direction

Provider's Profile

Full Name	Wilian Grijalva
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5459 Meridian Pl, Bonsall, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831872357
Provider Enumeration Date: 08/10/2023
Last Update Date: 08/15/2023

Medicare PECOS Information:

PECOS PAC ID: 5092162842
Enrollment ID: I20231115003494

Medical Identifiers

Medical identifiers for Wilian Grijalva such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831872357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95026675 (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. Wilian Grijalva allows following entities to bill medicare on his behalf.

Entity Name	Mohammed K Elsayed A Proffesional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396167813 PECOS PAC ID: 2466678446 Enrollment ID: O20140728002356

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. Wilian Grijalva 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
Wilian Grijalva, 5459 Meridian Pl, Bonsall, CA 92003-3739 Ph: (949) 547-0486	Wilian Grijalva, 5459 Meridian Pl, Bonsall, CA 92003-3739 Ph: (949) 547-0486

Reviews and Comments

Nurse Practitioner Nurses in Bonsall, CA

Hannah Rivero, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5405 Meridian Pl, Bonsall, CA 92003 Phone: 951-381-0658
Mrs. Connie Darlene Bagley, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4652 Valle Del Sol, Bonsall, CA 92003 Phone: 760-806-4870 Fax: 760-806-4870
Natalia Guchko, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8235 Via Urner Way, Bonsall, CA 92003 Phone: 516-426-6254

Wilian Grijalva, - Medicare Nurse Practitioner in Bonsall, CA