Alberto D Duran, MD - Medicare Obstetrics/gynecology in San Juan, TX

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Alberto D Duran, MD is a medicare enrolled "Obstetrics & Gynecology" physician in San Juan, Texas. He went to University Of Texas Medical School At San Antonio and graduated in 1996 and has 28 years of diverse experience with area of expertise as Obstetrics/gynecology. His current practice location is 1211 N Raul Longoria, Ste C, San Juan, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 782-7878.

Alberto D Duran is licensed to practice in Texas (license number K7147) 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 1366527293.

Contact Information

Alberto D Duran, MD
1211 N Raul Longoria, Ste C,
San Juan, TX 78589
(956) 782-7878
(956) 782-7877

Map and Direction




Physician's Profile

Full NameAlberto D Duran
GenderMale
SpecialityObstetrics/gynecology
Experience28 Years
Location1211 N Raul Longoria, San Juan, Texas
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:
  • Alberto D Duran attended and graduated from University Of Texas Medical School At San Antonio in 1996
  NPI Data:
  • NPI Number: 1366527293
  • Provider Enumeration Date: 10/26/2006
  • Last Update Date: 08/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5092892695
  • Enrollment ID: I20080407000578

Medical Identifiers

Medical identifiers for Alberto D Duran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366527293NPI-NPPES
0081JLOtherTXBLUE CROSS & BLUE SHIELD
030155805MedicaidTX
135976100OtherTXVALLEY HEALTH PLANS
114603OtherTXSUPERIOR HEALTH PLANS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology K7147 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mission Regional Medical CenterMission, TXHospital

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. Alberto D Duran allows following entities to bill medicare on his behalf.
Entity NameAlberto D Duran M.d P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134381098
PECOS PAC ID: 2860686680
Enrollment ID: O20101104001533

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. Alberto D Duran 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
Alberto D Duran, MD
Po Box 609,
Mission, TX 78573-0011

Ph: (956) 782-7878		Alberto D Duran, MD
1211 N Raul Longoria, Ste C,
San Juan, TX 78589

Ph: (956) 782-7878

Reviews and Comments


Obstetrics & Gynecology Doctors in San Juan, TX

Dr. Kevin B. Davis, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 806 West 3rd St, San Juan, TX 78589
Phone: 956-787-8915    Fax: 956-787-2021
Dr. Ventzislav D Vanguelov, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 806 W 3rd St, San Juan, TX 78589
Phone: 956-787-0787    
Mrs. Maria Elena Rodriguez De Lima, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 806 W 3rd St, San Juan, TX 78589
Phone: 956-787-8915    Fax: 956-787-2021
Dr. Carlos Eduardo Ballesteros, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1211 N Raul Longoria Rd Ste C, San Juan, TX 78589
Phone: 956-782-7878    Fax: 956-782-7877
Dr. Edgar Armando Rodriguez, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1211 N Raul Longoria Rd, Suite C, San Juan, TX 78589
Phone: 956-782-7878    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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