Dr Leo Pantilla Pajarillo, MD is a medicare enrolled "General Practice" physician in Williamson, West Virginia. His current practice location is
186 E 2nd Ave Ste 100, Williamson, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 236-5902.
Dr Leo Pantilla Pajarillo is licensed to practice in West Virginia (license number 11772) 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 1497971212.
Physician's Profile
Full Name | Dr Leo Pantilla Pajarillo |
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Gender | Male |
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Speciality | General Practice |
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Location | 186 E 2nd Ave Ste 100, Williamson, West Virginia |
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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: 1497971212
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 01/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951485788
- Enrollment ID: I20151205000062
Medical Identifiers
Medical identifiers for Dr Leo Pantilla Pajarillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497971212 | NPI | - | NPPES |
64698426 | Medicaid | KY | |
0112030000 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 11772 (West Virginia) | 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 Leo Pantilla Pajarillo allows following entities to bill medicare on his behalf.
Entity Name | Williamson Health & Wellness Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467711150 PECOS PAC ID: 5395972996 Enrollment ID: O20140521000620 |
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Entity Name | Williamson Memorial Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013521228 PECOS PAC ID: 7618388554 Enrollment ID: O20201124002158 |
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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 Leo Pantilla Pajarillo 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 Leo Pantilla Pajarillo, MD Po Box 2080, Williamson, WV 25661-2080 Ph: (304) 236-5902 | Dr Leo Pantilla Pajarillo, MD 186 E 2nd Ave Ste 100, Williamson, WV 25661-3602 Ph: (304) 236-5902 |
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