Dr Modesto Peralta Jr, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Hernando, Florida. His current practice location is
423 W Fenway Dr, Hernando, Florida. You can reach out to his office (for appointments etc.) via phone at
(440) 567-0113.
Dr Modesto Peralta Jr is licensed to practice in Ohio (license number 35.034631) 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 1568861995.
Physician's Profile
| Full Name | Dr Modesto Peralta Jr |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 423 W Fenway Dr, Hernando, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568861995
- Provider Enumeration Date: 08/21/2014
- Last Update Date: 08/21/2014
Medicare PECOS Information:
- PECOS PAC ID: 3678879152
- Enrollment ID: I20160309001373
Medical Identifiers
Medical identifiers for Dr Modesto Peralta Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568861995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 35.034631 (Ohio) | Primary |
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 Modesto Peralta 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 Address | Practice Location Address |
|---|
Dr Modesto Peralta Jr, MD
423 W Fenway Dr,
Hernando, FL 34442-5144
Ph: (440) 567-0113 | Dr Modesto Peralta Jr, MD
423 W Fenway Dr,
Hernando, FL 34442-5144
Ph: (440) 567-0113 |
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