Dr Juan Carlos Telleria, MD is a medicare enrolled "Radiology - Neuroradiology" physician in Pinecrest, Florida. His current practice location is
5961 Sw 136th St, Pinecrest, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 775-1599.
Dr Juan Carlos Telleria is licensed to practice in Florida (license number ME 124558) 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 1134377518.
Physician's Profile
Full Name | Dr Juan Carlos Telleria |
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Gender | Male |
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Speciality | Radiology - Neuroradiology |
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Location | 5961 Sw 136th St, Pinecrest, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134377518
- Provider Enumeration Date: 08/28/2008
- Last Update Date: 12/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901091735
- Enrollment ID: I20101105001199
Medical Identifiers
Medical identifiers for Dr Juan Carlos Telleria such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134377518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085N0700X | Radiology - Neuroradiology | ME 124558 (Florida) | 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 Juan Carlos Telleria allows following entities to bill medicare on his behalf.
Entity Name | Leon Medical Centers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376579839 PECOS PAC ID: 9537066618 Enrollment ID: O20031217000140 |
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Entity Name | Qmg, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790079309 PECOS PAC ID: 2961590435 Enrollment ID: O20120710000101 |
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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 Juan Carlos Telleria 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 Juan Carlos Telleria, MD 5961 Sw 136th St, Pinecrest, FL 33156-7209 Ph: (305) 775-1599 | Dr Juan Carlos Telleria, MD 5961 Sw 136th St, Pinecrest, FL 33156-7209 Ph: (305) 775-1599 |
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