Dr Juan Nicholas Villarama Jr, MD is a medicare enrolled "General Practice" physician in Cohoes, New York. His current practice location is
14 Garner St, Cohoes, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 237-4304.
Dr Juan Nicholas Villarama Jr is licensed to practice in New York (license number 100779) 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 1093815177.
Physician's Profile
| Full Name | Dr Juan Nicholas Villarama Jr |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 14 Garner St, Cohoes, New York |
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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: 1093815177
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4183606403
- Enrollment ID: I20040602000171
Medical Identifiers
Medical identifiers for Dr Juan Nicholas Villarama Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093815177 | NPI | - | NPPES |
| 00525975 | Medicaid | NY | |
| 10005697 | Other | NY | CDPHP |
| 23915 | Other | NY | BLUE SHIELD NENY |
| 496791 | Other | | EMPIRE BC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 100779 (New York) | 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 Nicholas Villarama Jr allows following entities to bill medicare on his behalf.
| Entity Name | Rensselaer County Bureau Of Finance |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225273485
PECOS PAC ID: 0749176923
Enrollment ID: O20040225000074 |
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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 Nicholas Villarama Jr 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 Nicholas Villarama Jr, MD
14 Garner St,
Cohoes, NY 12047
Ph: (518) 237-4304 | Dr Juan Nicholas Villarama Jr, MD
14 Garner St,
Cohoes, NY 12047
Ph: (518) 237-4304 |
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