Dr Mauricio De La Lama, MD - Medicare Diagnostic Radiology in New York, NY

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Dr Mauricio De La Lama, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in New York, New York. He went to Northwestern University Feinberg Medical School and graduated in 2006 and has 18 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Golden State Imaging Associates Inc, Renaissance Imaging Medical Associates Inc and his current practice location is 400 E 71st St, 4a, New York, New York. You can reach out to his office (for appointments etc.) via phone at (312) 213-0200.

Dr Mauricio De La Lama is licensed to practice in California (license number A121020) 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 1669778056.

Contact Information

Dr Mauricio De La Lama, MD
400 E 71st St, 4a,
New York, NY 10021-4808
(312) 213-0200
Not Available

Map and Direction




Physician's Profile

Full NameDr Mauricio De La Lama
GenderMale
SpecialityDiagnostic Radiology
Experience18 Years
Location400 E 71st St, New York, New York
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 Mauricio De La Lama attended and graduated from Northwestern University Feinberg Medical School in 2006
  NPI Data:
  • NPI Number: 1669778056
  • Provider Enumeration Date: 02/01/2011
  • Last Update Date: 09/25/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3577727445
  • Enrollment ID: I20120606000372

Medical Identifiers

Medical identifiers for Dr Mauricio De La Lama such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669778056NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A121020 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Saint Joseph Medical CtrBurbank, CAHospital
Antelope Valley HospitalLancaster, CAHospital
Glendale Mem Hospital & Hlth CenterGlendale, CAHospital
Northridge Hospital Medical CenterNorthridge, CAHospital
California Hospital Medical Center LaLos angeles, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Golden State Imaging Associates Inc1254761315223
Renaissance Imaging Medical Associates Inc7315841756118

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 Mauricio De La Lama allows following entities to bill medicare on his behalf.
Entity NameRenaissance Imaging Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487608931
PECOS PAC ID: 7315841756
Enrollment ID: O20031126000257
Entity NameMink Radiologic Imaging Medical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485015
PECOS PAC ID: 9335035195
Enrollment ID: O20040226001251
Entity NameGolden State Imaging Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144872052
PECOS PAC ID: 1254761315
Enrollment ID: O20200414001788

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 Mauricio De La Lama 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 Mauricio De La Lama, MD
400 E 71st St, 4a,
New York, NY 10021-4808

Ph: (312) 213-0200		Dr Mauricio De La Lama, MD
400 E 71st St, 4a,
New York, NY 10021-4808

Ph: (312) 213-0200

Reviews and Comments


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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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