Jerryper Colegado, - Medicare Nurse Practitioner in Loma Linda, CA

Jerryper Colegado, is a medicare enrolled "Nurse Practitioner - Acute Care" in Loma Linda, California. His current practice location is 11234 Anderson St, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 558-8514.

Jerryper Colegado is licensed to practice in California (license number 16076) 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 1063674307.

Contact Information

Jerryper Colegado,
11234 Anderson St,
Loma Linda, CA 92354-2804
(909) 558-8514
Not Available



Provider's Profile

Full NameJerryper Colegado
GenderMale
SpecialityNurse Practitioner - Acute Care
Location11234 Anderson St, Loma Linda, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063674307
  • Provider Enumeration Date: 06/27/2008
  • Last Update Date: 06/27/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8224251566
  • Enrollment ID: I20150617001444

Medical Identifiers

Medical identifiers for Jerryper Colegado such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063674307NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 16076 (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. Jerryper Colegado allows following entities to bill medicare on his behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981

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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. Jerryper Colegado 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 AddressPractice Location Address
Jerryper Colegado,
11234 Anderson St,
Loma Linda, CA 92354-2804

Ph: () -
Jerryper Colegado,
11234 Anderson St,
Loma Linda, CA 92354-2804

Ph: (909) 558-8514

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Nurse Practitioner Nurses in Loma Linda, CA

Holly Cornejo, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11201 Benton St, Loma Linda, CA 92357
Phone: 909-825-7084    
Mrs. Kenya Neoko Singleton, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11201 Benton Street, Loma Linda, CA 92357
Phone: 909-825-7084    Fax: 909-777-3874
Miss Christine Eunice Kurunathan, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11034 Veach St, Loma Linda, CA 92354
Phone: 909-825-7084    Fax: 909-777-3291
Krista Smith,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11201 Benton St, Loma Linda, CA 92357
Phone: 909-825-7084    
Cecille Bernad Ubbaonu, MSN, RN, AG-ACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11285 Mountain View Ave, 40, Loma Linda, CA 92354
Phone: 909-558-5844    Fax: 909-558-7873
Kristina Pulliam Markey, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11234 Anderson Strreet, Loma Linda, CA 92354
Phone: 909-558-5967    
Lauren Trajano,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11234 Anderson St, Loma Linda, CA 92354
Phone: 909-558-8000    

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