Dr Rafael Vidal Mora, MD in Fort Sam Houston, TX

Dr Rafael Vidal Mora, MD is a medicare enrolled "Urology" physician in Fort Sam Houston, Texas. His current practice location is 3851 Roger Brooke Dr, Bamc - Mche - Qd ( Creds ), Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-1163.

Dr Rafael Vidal Mora is licensed to practice in Florida (license number 31599) 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 1760444707.

Contact Information

	Dr Rafael Vidal Mora, MD
	3851 Roger Brooke Dr, Bamc - Mche - Qd ( Creds ), Fort Sam Houston, TX 78234-4501
	(210) 916-1163
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Rafael Vidal Mora
Gender	Male
Speciality	Urology
Location	3851 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760444707
Provider Enumeration Date: 04/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5991978314
Enrollment ID: I20191202002069

Medical Identifiers

Medical identifiers for Dr Rafael Vidal Mora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760444707	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	31599 (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 Rafael Vidal Mora allows following entities to bill medicare on his behalf.

Entity Name	Phc-las Cruces Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164445136 PECOS PAC ID: 4486635802 Enrollment ID: O20040624000297

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 Rafael Vidal Mora 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 Rafael Vidal Mora, MD 6 Fonthill Way, San Antonio, TX 78218-6030 Ph: (210) 822-2404	Dr Rafael Vidal Mora, MD 3851 Roger Brooke Dr, Bamc - Mche - Qd ( Creds ), Fort Sam Houston, TX 78234-4501 Ph: (210) 916-1163

Reviews and Comments

Urology Doctors in Fort Sam Houston, TX

Dr. Amanda B. Reed-maldonado, MD Urology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Frank A Wojciechowski, D.O. Urology Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-1163 Fax: 210-916-5076
Dr. Christopher L Allam, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. David Barham, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4141
Dr. Jessica Brooke Saeger, MD Urology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-0439
Dr. Helal Syed, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Brooke Army Medical Center, Mche-qd (creds), Fort Sam Houston, TX 78234 Phone: 210-916-2460

Dr Rafael Vidal Mora, MD - Medicare Urology in Fort Sam Houston, TX