Dr Luis Gerardo Martinez, MD - Medicare General Practice in Hialeah, FL

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Dr Luis Gerardo Martinez, MD is a medicare enrolled "General Practice" physician in Hialeah, Florida. His current practice location is 16795 Nw 67th Ave, Hialeah, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 913-7300.

Dr Luis Gerardo Martinez is licensed to practice in Florida (license number ME97578) 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 1629115100.

Contact Information

Dr Luis Gerardo Martinez, MD
16795 Nw 67th Ave,
Hialeah, FL 33015
(305) 913-7300
(305) 362-9776

Map and Direction




Physician's Profile

Full NameDr Luis Gerardo Martinez
GenderMale
SpecialityGeneral Practice
Location16795 Nw 67th Ave, Hialeah, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629115100
  • Provider Enumeration Date: 01/31/2007
  • Last Update Date: 09/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3476602616
  • Enrollment ID: I20090519000421

Medical Identifiers

Medical identifiers for Dr Luis Gerardo Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629115100NPI-NPPES
ME 97578OtherFLMEDICAL LICENSE
023166800MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice ME97578 (Florida)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 Gerardo Martinez allows following entities to bill medicare on his behalf.
Entity NameCommunity Health Of South Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336152347
PECOS PAC ID: 6507770526
Enrollment ID: O20031118000460
Entity NamePura Vida Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922523604
PECOS PAC ID: 0143582544
Enrollment ID: O20180323000682

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 Gerardo Martinez 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 Gerardo Martinez, MD
2600 S Douglas Rd Ste 308,
Coral Gables, FL 33134-6134

Ph: (305) 913-9441		Dr Luis Gerardo Martinez, MD
16795 Nw 67th Ave,
Hialeah, FL 33015

Ph: (305) 913-7300

Reviews and Comments


General Practice Doctors in Hialeah, FL

Vandely Perez, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 5378 W 16th Ave, Hialeah, FL 33012
Phone: 305-820-4101    Fax: 305-820-2885
Pastor M Torres, MD
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 665 E 49th St, Hialeah, FL 33013
Phone: 305-688-1700    Fax: 305-688-3735
Enrique Solis Lafont,
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 3746 W 12th Ave, Hialeah, FL 33012
Phone: 786-600-7560    Fax: 786-648-5503
Dr. Mario R Palomino, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 3805 W 20th Ave, Suite 105, Hialeah, FL 33012
Phone: 305-557-2277    Fax: 305-557-2278
Dr. Katia Fajardo Martinez, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 2750 W 68th St Ste 127-128, Hialeah, FL 33016
Phone: 305-558-0766    Fax: 305-558-0766
Edgardo B. Penabad, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 7590 Nw 186th St, Hialeah, FL 33015
Phone: 786-953-6293    Fax: 786-953-6891
Oscar Pazos Chavez, SRNA
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 211 W 34th St, Hialeah, FL 33012
Phone: 305-570-7428    

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).

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