Dr Juan R Vigo Matos, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Athens, Georgia. His current practice location is
1500 Oglethorpe Ave Ste 200d, Athens, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 389-3875.
Dr Juan R Vigo Matos is licensed to practice in * (Not Available) (license number ) 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 1508444225.
Physician's Profile
| Full Name | Dr Juan R Vigo Matos |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1500 Oglethorpe Ave Ste 200d, Athens, Georgia |
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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: 1508444225
- Provider Enumeration Date: 04/01/2021
- Last Update Date: 08/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 5395145981
- Enrollment ID: I20210618001733
Medical Identifiers
Medical identifiers for Dr Juan R Vigo Matos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508444225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 12824 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 R Vigo Matos 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 |
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Dr Juan R Vigo Matos, MD
1230 Baxter St,
Athens, GA 30606-3712
Ph: (706) 389-3860 | Dr Juan R Vigo Matos, MD
1500 Oglethorpe Ave Ste 200d,
Athens, GA 30606-2165
Ph: (706) 389-3875 |
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