Dr Alfonso E Urdaneta, MD is a medicare enrolled "Family Medicine" physician in Nashville, Illinois. His current practice location is
705 South Grand Avenue, Nashville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 327-2225.
Dr Alfonso E Urdaneta is licensed to practice in Illinois (license number 036047128) 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 1225085590.
Physician's Profile
| Full Name | Dr Alfonso E Urdaneta |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 705 South Grand Avenue, Nashville, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Alfonso E Urdaneta attended and graduated from in
NPI Data:
- NPI Number: 1225085590
- Provider Enumeration Date: 05/30/2006
- Last Update Date: 11/03/2009
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Alfonso E Urdaneta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225085590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 036047128 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036047128 (Illinois) | Primary |
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. Dr Alfonso E Urdaneta 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 |
|---|
Dr Alfonso E Urdaneta, MD
3416 Hotze Road,
Salem, IL 62881-6616
Ph: (618) 548-1185 | Dr Alfonso E Urdaneta, MD
705 South Grand Avenue,
Nashville, IL 62263-1534
Ph: (618) 327-2225 |
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