Dr Leonardo C Profenna, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Floresville, Texas. His current practice location is
497 10th St. Ste 104, Floresville, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 393-1400.
Dr Leonardo C Profenna is licensed to practice in Texas (license number P2157) 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 1801880869.
Physician's Profile
| Full Name | Dr Leonardo C Profenna |
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| Gender | Male |
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| Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine |
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| Location | 497 10th St. Ste 104, Floresville, Texas |
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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: 1801880869
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 05/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426294497
- Enrollment ID: I20130913000387
Medical Identifiers
Medical identifiers for Dr Leonardo C Profenna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801880869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | P2157 (Texas) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | P2157 (Texas) | 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 Leonardo C Profenna allows following entities to bill medicare on his behalf.
| Entity Name | Wilson County Memorial Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871599829 PECOS PAC ID: 6204878606 Enrollment ID: O20080807000205 |
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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 Leonardo C Profenna 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 Leonardo C Profenna, MD 497 10th St Ste 104, Floresville, TX 78114-3178 Ph: (830) 393-1730 | Dr Leonardo C Profenna, MD 497 10th St. Ste 104, Floresville, TX 78114 Ph: (830) 393-1400 |
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