Dr Luis Gaspar Maduro Jr, MD - Medicare Family Medicine in Southfield, MI

Dr Luis Gaspar Maduro Jr, MD is a medicare enrolled "Family Medicine" physician in Southfield, Michigan. His current practice location is 18161 W 13 Mile Rd, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 480-4183.

Dr Luis Gaspar Maduro Jr is licensed to practice in Puerto Rico (license number 12074) 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 1881813079.

Contact Information

Dr Luis Gaspar Maduro Jr, MD
18161 W 13 Mile Rd,
Southfield, MI 48076
(248) 480-4183
(248) 792-2631

Map and Direction




Physician's Profile

Full NameDr Luis Gaspar Maduro Jr
GenderMale
SpecialityFamily Medicine
Location18161 W 13 Mile Rd, Southfield, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881813079
  • Provider Enumeration Date: 04/25/2007
  • Last Update Date: 05/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0042504151
  • Enrollment ID: I20160812001009

Medical Identifiers

Medical identifiers for Dr Luis Gaspar Maduro Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881813079NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 12074 (Puerto Rico)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 Gaspar Maduro Jr allows following entities to bill medicare on his behalf.
Entity NameDhhs,phs,naihs, Gallup Indian Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225002322
PECOS PAC ID: 3173436409
Enrollment ID: O20031111000840

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 Gaspar Maduro Jr 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 Gaspar Maduro Jr, MD
18161 W 13 Mile Rd,
Southfield, MI 48076-1113

Ph: (248) 480-4183
Dr Luis Gaspar Maduro Jr, MD
18161 W 13 Mile Rd,
Southfield, MI 48076

Ph: (248) 480-4183

Reviews and Comments


Family Medicine Doctors in Southfield, MI

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Phone: 248-849-3447    Fax: 248-849-8021
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Phone: 248-849-3441    
Dr. Camelia Loredana Salanta, M.D.
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Practice Location: 26015 Greenfield Rd, Southfield, MI 48076
Phone: 248-552-7230    Fax: 248-552-7514

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.