Dr Denia Pedreira, MD - Medicare Family Practice in South Miami, FL

Dr Denia Pedreira, MD is a medicare enrolled "Family Medicine" physician in South Miami, Florida. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Guidewell Sanitas I, Llc and her current practice location is 6601 Sw 62nd Ave, South Miami, Florida. You can reach out to her office (for appointments etc.) via phone at (305) 669-6900.

Dr Denia Pedreira is licensed to practice in Florida (license number ME112715) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699086868.

Contact Information

Dr Denia Pedreira, MD
6601 Sw 62nd Ave,
South Miami, FL 33143-3300
(305) 669-6900
(305) 669-6907

Map and Direction




Physician's Profile

Full NameDr Denia Pedreira
GenderFemale
SpecialityFamily Practice
Experience27 Years
Location6601 Sw 62nd Ave, South Miami, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Denia Pedreira graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1699086868
  • Provider Enumeration Date: 06/23/2010
  • Last Update Date: 03/13/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5597949594
  • Enrollment ID: I20140804000157

Medical Identifiers

Medical identifiers for Dr Denia Pedreira such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699086868NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME112715 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Guidewell Sanitas I, Llc9537447107101

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. Dr Denia Pedreira allows following entities to bill medicare on her behalf.
Entity NameGuidewell Sanitas I, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396124046
PECOS PAC ID: 9537447107
Enrollment ID: O20161102001073

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 Denia Pedreira 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
Dr Denia Pedreira, MD
6601 Sw 62nd Ave,
South Miami, FL 33143-3300

Ph: (305) 669-6900
Dr Denia Pedreira, MD
6601 Sw 62nd Ave,
South Miami, FL 33143-3300

Ph: (305) 669-6900

Reviews and Comments


Family Medicine Doctors in South Miami, FL

Dr. Dorothy Justine Contiguglia-akcan, M.D./M.P.H.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6601 Sw 62nd Ave, South Miami, FL 33143
Phone: 786-466-6900    Fax: 786-466-6920
Piya Suryadevara, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6200 Sw 73rd St, South Miami, FL 33143
Phone: 786-662-4000    
Dr. Alonso Jose Martin Del Campo, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7171 Sw 62nd Ave Fl 3, South Miami, FL 33143
Phone: 305-740-6001    
Dr. Julio Gonzalez, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7000 Sw 62nd Ave Ste 600, South Miami, FL 33143
Phone: 305-830-0719    Fax: 877-482-6066
Dr. Tamelia D Lakraj-edwards, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 7031 Sw 62nd Ave, South Miami, FL 33143
Phone: 305-284-7761    
Dr. Mario J Fonseca, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7325 Sw 63rd Ave, Suite 201, South Miami, FL 33143
Phone: 305-669-9404    Fax: 305-669-9660
Dr. Nathan Patrick Widboom, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7031 Sw 62nd Ave, South Miami, FL 33143
Phone: 305-284-7761    

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.