Dr Nela F Ballesteros Moyano, MD is a medicare enrolled "General Practice" physician in Lake Mary, Florida. Her current practice location is
107 Lake Emma Cove Dr, Lake Mary, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 310-3102.
Dr Nela F Ballesteros Moyano is licensed to practice in Florida (license number ACN1184) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174026348.
Physician's Profile
Full Name | Dr Nela F Ballesteros Moyano |
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Gender | Female |
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Speciality | General Practice |
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Location | 107 Lake Emma Cove Dr, Lake Mary, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174026348
- Provider Enumeration Date: 03/14/2018
- Last Update Date: 06/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527493212
- Enrollment ID: I20200128000682
Medical Identifiers
Medical identifiers for Dr Nela F Ballesteros Moyano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174026348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | ACN1184 (Florida) | Secondary |
208D00000X | General Practice | ACN1184 (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 Nela F Ballesteros Moyano allows following entities to bill medicare on her behalf.
Entity Name | Florida Medical Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336153709 PECOS PAC ID: 0648271155 Enrollment ID: O20070126000169 |
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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 Nela F Ballesteros Moyano 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 Nela F Ballesteros Moyano, MD 107 Lake Emma Cove Dr, Lake Mary, FL 32746-2508 Ph: (407) 310-3102 | Dr Nela F Ballesteros Moyano, MD 107 Lake Emma Cove Dr, Lake Mary, FL 32746-2508 Ph: (407) 310-3102 |
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