Mr Jesus Manuel Reyes, PA - Medicare Pharmacist in Walnut Park, CA

Mr Jesus Manuel Reyes, PA is a medicare enrolled "Pharmacist" 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 45117) 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.

Contact Information

Mr Jesus Manuel Reyes, PA
7934 Seville Ave,
Walnut Park, CA 90255-6804
(323) 584-9644
(323) 583-0012

Healthcare Provider's Profile

Full NameMr Jesus Manuel Reyes
GenderMale
SpecialityPharmacist
Location7934 Seville Ave, Walnut Park, California
Accepts Medicare AssignmentsMedicare 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: 01/14/2014
  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.
IdentifierTypeStateIssuer
1336182864NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 45117 (California)Primary
363AM0700XPhysician Assistant - Medical PA17357 (California)Secondary

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 AddressPractice 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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› Verified 3 days ago


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