Dr Juan Camilo Rendon, MD in Orange, CA - Medicare Emergency Medicine

Dr Juan Camilo Rendon, MD is a medicare enrolled "Emergency Medicine" physician in Orange, California. His current practice location is 101 The City Dr S, Building 200, Suite 710, Rt. 128-01, Orange, California. You can reach out to his office (for appointments etc.) via phone at (714) 456-5922.

Dr Juan Camilo Rendon is licensed to practice in California (license number A128756) 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 1447510656.

Contact Information

	Dr Juan Camilo Rendon, MD
	101 The City Dr S, Building 200, Suite 710, Rt. 128-01, Orange, CA 92868-3201
	(714) 456-5922
	Not Available

Physician's Profile

Full Name	Dr Juan Camilo Rendon
Gender	Male
Speciality	Emergency Medicine
Location	101 The City Dr S, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447510656
Provider Enumeration Date: 05/22/2012
Last Update Date: 11/09/2021

Medicare PECOS Information:

PECOS PAC ID: 5991027435
Enrollment ID: I20141211000936

Medical Identifiers

Medical identifiers for Dr Juan Camilo Rendon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447510656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A128756 (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. Dr Juan Camilo Rendon allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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Entity Name	Coast Plaza Emergency Physicians Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912308446 PECOS PAC ID: 7113249947 Enrollment ID: O20141206000362

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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. Dr Juan Camilo Rendon 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
Dr Juan Camilo Rendon, MD 101 The City Dr S, Building 200, Suite 710, Rt. 128-01, Orange, CA 92868-3201 Ph: (714) 456-5922	Dr Juan Camilo Rendon, MD 101 The City Dr S, Building 200, Suite 710, Rt. 128-01, Orange, CA 92868-3201 Ph: (714) 456-5922

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Emergency Medicine Doctors in Orange, CA

Joseph Villarreal, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Building 1a, Room 1009, Orange, CA 92868 Phone: 714-456-5239
Scott Rudkin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-2986
Joelle Reynard, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Building 1a, Room 1009, Orange, CA 92868 Phone: 714-456-5239
Dr. Inna Shniter, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 W Stewart Dr, Orange, CA 92868 Phone: 714-771-8113
John C Fox, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-2986
Miss Shannon Louise Toohey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 The City Drive South, Bldg 200 , Suite 710, Rt 128-01, Orange, CA 92868 Phone: 715-456-5239
Wirachin Hoonpongsimanont, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-5705

Dr Juan Camilo Rendon, MD - Medicare Emergency Medicine in Orange, CA

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Emergency Medicine Doctors in Orange, CA