Alonso E Concha Leon, MD - Medicare Pediatrics in Atlantic City, NJ

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Alonso E Concha Leon, MD is a medicare enrolled "Pediatrics" physician in Atlantic City, New Jersey. His current practice location is 1925 Pacific Ave, Atlantic City, New Jersey. You can reach out to his office (for appointments etc.) via phone at (609) 345-4000.

Alonso E Concha Leon is licensed to practice in Pennsylvania (license number MD429937) 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 1427149327.

Contact Information

Alonso E Concha Leon, MD
1925 Pacific Ave,
Atlantic City, NJ 08401-6713
(609) 345-4000
(609) 572-8523

Map and Direction




Physician's Profile

Full NameAlonso E Concha Leon
GenderMale
SpecialityPediatrics
Location1925 Pacific Ave, Atlantic City, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427149327
  • Provider Enumeration Date: 09/27/2006
  • Last Update Date: 12/02/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1254332315
  • Enrollment ID: I20070117000083

Medical Identifiers

Medical identifiers for Alonso E Concha Leon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427149327NPI-NPPES
1020803440008MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 25MA08140100 (New Jersey)Secondary
208000000XPediatrics MD429937 (Pennsylvania)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. Alonso E Concha Leon allows following entities to bill medicare on his behalf.
Entity NameChildren's Health Care Associates Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427152917
PECOS PAC ID: 1052219110
Enrollment ID: O20031229000053
Entity NameAtlanticare Physician Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093829608
PECOS PAC ID: 8527953660
Enrollment ID: O20040218000405
Entity NameNemours New Jersey Physician Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265874713
PECOS PAC ID: 4486871159
Enrollment ID: O20140805000413

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. Alonso E Concha Leon 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
Alonso E Concha Leon, MD
100 E Penn Sq, 9th Fl,
Philadelphia, PA 19107-3323

Ph: (267) 425-9234		Alonso E Concha Leon, MD
1925 Pacific Ave,
Atlantic City, NJ 08401-6713

Ph: (609) 345-4000

Reviews and Comments


Pediatrics Doctors in Atlantic City, NJ

Dr. Cheryl A Kuponiyi, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4127 Atlantic Ave, Atlantic City, NJ 08401
Phone: 609-601-6366    
Sue A. Mah, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401
Phone: 609-345-4000    Fax: 609-572-8523
Dr. Rolando Q. Mallari, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1925 Pacific Ave, Chop Care Network At Atlanticare - Atlantic City, Atlantic City, NJ 08401
Phone: 609-345-4000    
Peggy A Solomon-bergen, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1301 Atlantic Ave, Atlantic City, NJ 08401
Phone: 609-572-0000    Fax: 609-572-0039
Dr. Edwin Lopez-bernard, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1401 Atlantic Ave, Atlantic City, NJ 08401
Phone: 609-572-8686    Fax: 609-572-6033

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.