Mr Cresolito Alcantara Villanueva Jr, - Medicare Nurse Practitioner in Stockton, CA

Mr Cresolito Alcantara Villanueva Jr, is a medicare enrolled "Nurse Practitioner - Family" in Stockton, California. His current practice location is 2339 W Hammer Ln, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 940-5901.

Mr Cresolito Alcantara Villanueva Jr is licensed to practice in California (license number 95010695) 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 1083186639.

Contact Information

Mr Cresolito Alcantara Villanueva Jr,
2339 W Hammer Ln,
Stockton, CA 95209-2368
(209) 940-5901
Not Available



Provider's Profile

Full NameMr Cresolito Alcantara Villanueva Jr
GenderMale
SpecialityNurse Practitioner - Family
Location2339 W Hammer Ln, Stockton, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083186639
  • Provider Enumeration Date: 12/20/2018
  • Last Update Date: 11/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9739594789
  • Enrollment ID: I20210224002627

Medical Identifiers

Medical identifiers for Mr Cresolito Alcantara Villanueva Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083186639NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95010695 (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. Mr Cresolito Alcantara Villanueva Jr allows following entities to bill medicare on his behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

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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. Mr Cresolito Alcantara Villanueva Jr 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
Mr Cresolito Alcantara Villanueva Jr,
2339 W Hammer Ln,
Stockton, CA 95209-2368

Ph: (209) 940-5901
Mr Cresolito Alcantara Villanueva Jr,
2339 W Hammer Ln,
Stockton, CA 95209-2368

Ph: (209) 940-5901

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Nurse Practitioner Nurses in Stockton, CA

Yuko Motooka-halseth, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1801 E March Ln Ste D470, Stockton, CA 95210
Phone: 209-507-7027    Fax: 209-762-6808
Harmanpreet Kaur, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 415 E Harding Way, Stockton, CA 95204
Phone: 209-944-5750    
Rex Ambatali Jr., FNP-C, CVNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2633 Pacific Ave, Stockton, CA 95204
Phone: 209-944-5530    
Mrs. Deborah Kay Hastie,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207
Phone: 209-952-5555    Fax: 209-952-1907
Mrs. Ketty Ukpong Uweh, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 644 E Harding Way Ste B, Stockton, CA 95204
Phone: 209-244-9191    Fax: 209-244-9190
Dr. Joan S Rubinger, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2488 N California St, C/o R Winter Md, Stockton, CA 95204
Phone: 209-518-5051    
Lisa Hansen, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 89 W March Ln, Suite #1, Stockton, CA 95207
Phone: 209-478-2622    Fax: 209-870-2754

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