Dr Gregory A Talavera, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in San Ysidro, California. His current practice location is
4004 Beyer Blvd, San Ysidro, California. You can reach out to his office (for appointments etc.) via phone at
(619) 428-4463.
Dr Gregory A Talavera is licensed to practice in California (license number A40061) 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 1740337161.
Physician's Profile
| Full Name | Dr Gregory A Talavera |
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| Gender | Male |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 4004 Beyer Blvd, San Ysidro, California |
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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: 1740337161
- Provider Enumeration Date: 01/05/2007
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 6800854613
- Enrollment ID: I20041227000740
Medical Identifiers
Medical identifiers for Dr Gregory A Talavera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740337161 | NPI | - | NPPES |
| A40061 | Other | CA | CA. LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | A40061 (California) | Primary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | A40061 (California) | 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. Dr Gregory A Talavera allows following entities to bill medicare on his behalf.
| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124782685
PECOS PAC ID: 6901709435
Enrollment ID: O20040130000711 |
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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. Dr Gregory A Talavera 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 Gregory A Talavera, MD
4004 Beyer Blvd,
San Ysidro, CA 92173-2007
Ph: (619) 428-4463 | Dr Gregory A Talavera, MD
4004 Beyer Blvd,
San Ysidro, CA 92173-2007
Ph: (619) 428-4463 |
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