Mr Jesus Manuel Reyes, PA is a medicare enrolled "Physician Assistant - Medical" provider in Walnut Park, California. His current practice location is
7934 Seville Ave, Walnut Park, California. You can reach out to his office (for appointments etc.) via phone at
(323) 584-9644.
Mr Jesus Manuel Reyes is licensed to practice in California (license number PA17357) 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 1336182864.
Healthcare Provider's Profile
| Full Name | Mr Jesus Manuel Reyes |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 7934 Seville Ave, Walnut Park, 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: 1336182864
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 09/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022059377
- Enrollment ID: I20050517000398
Medical Identifiers
Medical identifiers for Mr Jesus Manuel Reyes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336182864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 183500000X | Pharmacist | 45117 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA17357 (California) | Primary |
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 Jesus Manuel Reyes 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 Jesus Manuel Reyes, PA 7934 Seville Ave, Walnut Park, CA 90255-6804 Ph: (323) 584-9644 | Mr Jesus Manuel Reyes, PA 7934 Seville Ave, Walnut Park, CA 90255-6804 Ph: (323) 584-9644 |
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