Mr John Cenarosa Paguntalan, NP - Medicare Nurse Practitioner in Ware Shoals, SC

Mr John Cenarosa Paguntalan, NP is a medicare enrolled "Nurse Practitioner - Family" in Ware Shoals, South Carolina. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Self Medical Group and his current practice location is 157b S Greenwood Ave, Ware Shoals, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 456-3447.

Mr John Cenarosa Paguntalan is licensed to practice in South Carolina (license number 905) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669664728.

Contact Information

Mr John Cenarosa Paguntalan, NP
157b S Greenwood Ave,
Ware Shoals, SC 29692-1636
(864) 456-3447
(864) 725-4979



Provider's Profile

Full NameMr John Cenarosa Paguntalan
GenderMale
SpecialityNurse Practitioner
Experience23 Years
Location157b S Greenwood Ave, Ware Shoals, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr John Cenarosa Paguntalan graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1669664728
  • Provider Enumeration Date: 08/13/2007
  • Last Update Date: 11/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4183515737
  • Enrollment ID: I20040323000607

Medical Identifiers

Medical identifiers for Mr John Cenarosa Paguntalan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669664728NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 905 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Self Regional HealthcareGreenwood, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Self Medical Group6002953916281

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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 John Cenarosa Paguntalan allows following entities to bill medicare on his behalf.
Entity NameSelf Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982836847
PECOS PAC ID: 6002953916
Enrollment ID: O20091027000071

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Entity NameSelf Regional Healthcare Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922582105
PECOS PAC ID: 1557606118
Enrollment ID: O20190129003656

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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 John Cenarosa Paguntalan 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 John Cenarosa Paguntalan, NP
157b S Greenwood Ave,
Ware Shoals, SC 29692-1636

Ph: (864) 456-3447
Mr John Cenarosa Paguntalan, NP
157b S Greenwood Ave,
Ware Shoals, SC 29692-1636

Ph: (864) 456-3447

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Nurse Practitioner Nurses in Ware Shoals, SC

Bennie S Henderson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 157 B S Greenwood Ave Ext, Ware Shoals, SC 29692
Phone: 864-456-3447    Fax: 864-725-4979
Jessica Lynn Maffett, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 167 S Greenwood Ave, Ware Shoals, SC 29692
Phone: 864-389-4116    

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