Anjelica Allegra Moncada-gonzales, CPNP-AC is a medicare enrolled "Nurse Practitioner - Pediatrics, Critical Care" physician in San Antonio, Texas. Her current practice location is
333 N Santa Rosa, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 704-2100.
Anjelica Allegra Moncada-gonzales is licensed to practice in Texas (license number 1097163) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740902964.
Physician's Profile
| Full Name | Anjelica Allegra Moncada-gonzales |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics, Critical Care |
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| Location | 333 N Santa Rosa, San Antonio, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740902964
- Provider Enumeration Date: 09/14/2022
- Last Update Date: 11/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618345810
- Enrollment ID: I20221118002185
Medical Identifiers
Medical identifiers for Anjelica Allegra Moncada-gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740902964 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 1097163 (Texas) | Secondary |
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 1097163 (Texas) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 1097163 (Texas) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 1097163 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | 1097163 (Texas) | 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. Anjelica Allegra Moncada-gonzales allows following entities to bill medicare on her behalf.
| Entity Name | Baylor College Of Medicine |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285079764
PECOS PAC ID: 0648405738
Enrollment ID: O20131025000939 |
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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. Anjelica Allegra Moncada-gonzales 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 Address | Practice Location Address |
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Anjelica Allegra Moncada-gonzales, CPNP-AC
315 N San Saba Ste 1135,
San Antonio, TX 78207-3255
Ph: () - | Anjelica Allegra Moncada-gonzales, CPNP-AC
333 N Santa Rosa,
San Antonio, TX 78207-3108
Ph: (210) 704-2100 |
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