Dr Lionel R Duarte, MD - Medicare Family Practice in Tucson, AZ

Dr Lionel R Duarte, MD is a medicare enrolled "Family Medicine" physician in Tucson, Arizona. He went to University Of Arizona College Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Arizona Community Physicians Pc and his current practice location is 6565 E Carondelet Dr Ste 275, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 298-0147.

Dr Lionel R Duarte is licensed to practice in Arizona (license number 21383) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528026846.

Contact Information

Dr Lionel R Duarte, MD
6565 E Carondelet Dr Ste 275,
Tucson, AZ 85710-3529
(520) 298-0147
(520) 298-7404

Map and Direction




Physician's Profile

Full NameDr Lionel R Duarte
GenderMale
SpecialityFamily Practice
Experience34 Years
Location6565 E Carondelet Dr Ste 275, Tucson, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lionel R Duarte attended and graduated from University Of Arizona College Of Medicine in 1990
  NPI Data:
  • NPI Number: 1528026846
  • Provider Enumeration Date: 05/03/2006
  • Last Update Date: 11/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3971590282
  • Enrollment ID: I20040428001333

Medical Identifiers

Medical identifiers for Dr Lionel R Duarte such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528026846NPI-NPPES
182353MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 21383 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tucson Medical CenterTucson, AZHospital
St Joseph's HospitalTucson, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arizona Community Physicians Pc4587560552161

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 Lionel R Duarte allows following entities to bill medicare on his behalf.
Entity NameArizona Community Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205871076
PECOS PAC ID: 4587560552
Enrollment ID: O20031210000500

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 Lionel R Duarte 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 AddressPractice Location Address
Dr Lionel R Duarte, MD
5055 E Broadway Blvd Ste A100,
Tucson, AZ 85711-3629

Ph: (520) 327-0460
Dr Lionel R Duarte, MD
6565 E Carondelet Dr Ste 275,
Tucson, AZ 85710-3529

Ph: (520) 298-0147

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.