Dr Jose Luis Valencia, MD - Medicare Pathology in Mcallen, TX

Dr Jose Luis Valencia, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Mcallen, Texas. He graduated from medical school in 1973 and has 51 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Rgv Pathology Consultants, Pa and his current practice location is 101 E Ridge Rd, Laboratory Department, Mcallen, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 632-6405.

Dr Jose Luis Valencia is licensed to practice in Texas (license number E4730) 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 1285664755.

Contact Information

Dr Jose Luis Valencia, MD
101 E Ridge Rd, Laboratory Department,
Mcallen, TX 78503-1248
(956) 632-6405
(956) 632-6641

Map and Direction




Physician's Profile

Full NameDr Jose Luis Valencia
GenderMale
SpecialityPathology
Experience51 Years
Location101 E Ridge Rd, Mcallen, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jose Luis Valencia graduated from medical school in 1973
  NPI Data:
  • NPI Number: 1285664755
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3173624749
  • Enrollment ID: I20070726000334

Medical Identifiers

Medical identifiers for Dr Jose Luis Valencia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285664755NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology E4730 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South Texas Health SystemEdinburg, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rgv Pathology Consultants, Pa31737484152

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 Jose Luis Valencia allows following entities to bill medicare on his behalf.
Entity NameValencia, Md & Sanchez, Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427136357
PECOS PAC ID: 6901907575
Enrollment ID: O20070726000298
Entity NameRgv Pathology Consultants, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023439163
PECOS PAC ID: 3173748415
Enrollment ID: O20140701000225

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 Jose Luis Valencia 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 Jose Luis Valencia, MD
101 E Ridge Rd, Laboratory Department,
Mcallen, TX 78503-1248

Ph: (956) 632-6405
Dr Jose Luis Valencia, MD
101 E Ridge Rd, Laboratory Department,
Mcallen, TX 78503-1248

Ph: (956) 632-6405

Reviews and Comments


Pathology Doctors in Mcallen, TX

Dr. Deborah Gail Johnson, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 200 S 10th St, Suite 1105, Mcallen, TX 78501
Phone: 956-682-7938    Fax: 956-682-5645
Dr. Rudy Alvarez, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 301 W Expressway 83, Pathology Department, Mcallen, TX 78503
Phone: 956-632-4252    
Antonio Alvarez-mendoza, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 301 W Expressway 83, Laboratory Dept, Mcallen, TX 78503
Phone: 956-632-5588    Fax: 956-550-4314
Miguel Angel Sanchez, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 612 Nolana Ste 330, Mcallen, TX 78504
Phone: 956-630-2225    Fax: 956-630-2275
Gabriela M Bedolla, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Ridge Rd, Mcallen, TX 78503
Phone: 956-632-6405    Fax: 956-632-6641
Shane Patrick Sweeney, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 101 E Ridge Rd, Mcallen, TX 78503
Phone: 956-632-6000    Fax: 956-632-6641

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.