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.
Provider's Profile
Full Name | Wilian Grijalva |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 5459 Meridian Pl, Bonsall, California |
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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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396167813 PECOS PAC ID: 2466678446 Enrollment ID: O20140728002356 |
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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 |
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