Dr Luis A Vera, MD - Medicare Pediatrics in East Stroudsburg, PA

Dr Luis A Vera, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in East Stroudsburg, Pennsylvania. His current practice location is 206 E Brown St, East Stroudsburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 422-8288.

Dr Luis A Vera is licensed to practice in Pennsylvania (license number MD044330L) 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 1922081272.

Contact Information

Dr Luis A Vera, MD
206 E Brown St,
East Stroudsburg, PA 18301-3006
(570) 422-8288
(570) 476-3754

Map and Direction




Physician's Profile

Full NameDr Luis A Vera
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location206 E Brown St, East Stroudsburg, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922081272
  • Provider Enumeration Date: 11/21/2005
  • Last Update Date: 11/24/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4880719061
  • Enrollment ID: I20100910000768

Medical Identifiers

Medical identifiers for Dr Luis A Vera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922081272NPI-NPPES
1248476MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine MD044330L (Pennsylvania)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 Luis A Vera allows following entities to bill medicare on his behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518
Entity NameScranton Quincy Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508143074
PECOS PAC ID: 0143487389
Enrollment ID: O20120131000544

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 Luis A Vera 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 Luis A Vera, MD
12 Cherrywood Dr,
Wilkes Barre, PA 18702-7256

Ph: (570) 881-0305
Dr Luis A Vera, MD
206 E Brown St,
East Stroudsburg, PA 18301-3006

Ph: (570) 422-8288

Reviews and Comments


Pediatrics Doctors in East Stroudsburg, PA

Uchenna Rebecca Ufondu, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 302 E Brown St, Ste A, East Stroudsburg, PA 18301
Phone: 570-476-4161    Fax: 570-476-9954
Dr. Annette Vazquez-aran, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9090 Franklin Hill Rd Ste 201, East Stroudsburg, PA 18301
Phone: 570-223-5010    
Kimberly Downes, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 175 E Brown St, East Stroudsburg, PA 18301
Phone: 570-476-3585    Fax: 570-421-9014
Dr. Jose R Bordas, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 175 E Brown St, Suite 108, East Stroudsburg, PA 18301
Phone: 570-476-3585    
Jose Delfor Salazar, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 206 E Brown St, Pmc Neonatology, East Stroudsburg, PA 18301
Phone: 570-421-4000    Fax: 570-476-3754
Subhasri L Sangam, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 206 E Brown St, East Stroudsburg, PA 18301
Phone: 570-422-8288    Fax: 570-426-2390
Garry A. Hamilton, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 175 E Brown St Ste 108, Pocono Kids Pediatrics, East Stroudsburg, PA 18301
Phone: 570-476-3585    Fax: 570-421-9014

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.

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