Dr Raul Adrian Pena, MD - Medicare Ophthalmology in Mcallen, TX

Dr Raul Adrian Pena, MD is a medicare enrolled "Ophthalmology" physician in Mcallen, Texas. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Raul Adrian Pena Md Pa and his current practice location is 1400 E Ridge Rd Ste 10, Mcallen, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 661-8733.

Dr Raul Adrian Pena is licensed to practice in Texas (license number L0504) 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 1164456943.

Contact Information

Dr Raul Adrian Pena, MD
1400 E Ridge Rd Ste 10,
Mcallen, TX 78503-1536
(956) 661-8733
(956) 661-8724

Map and Direction




Physician's Profile

Full NameDr Raul Adrian Pena
GenderMale
SpecialityOphthalmology
Experience36 Years
Location1400 E Ridge Rd Ste 10, Mcallen, Texas
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 Raul Adrian Pena graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1164456943
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 05/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1951369123
  • Enrollment ID: I20041221000207

Medical Identifiers

Medical identifiers for Dr Raul Adrian Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164456943NPI-NPPES
L0504OtherTXMEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology L0504 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Doctors Hospital At RenaissanceEdinburg, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Raul Adrian Pena Md Pa97391141413

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 Raul Adrian Pena allows following entities to bill medicare on his behalf.
Entity NameRaul Adrian Pena Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407037633
PECOS PAC ID: 9739114141
Enrollment ID: O20051004000644

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 Raul Adrian Pena 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 Raul Adrian Pena, MD
1400 E Ridge Rd Ste 10,
Mcallen, TX 78503-1536

Ph: (956) 661-8733
Dr Raul Adrian Pena, MD
1400 E Ridge Rd Ste 10,
Mcallen, TX 78503-1536

Ph: (956) 661-8733

Reviews and Comments


Ophthalmology Doctors in Mcallen, TX

Vimal Sarup, MD
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 1309 E Ridge Rd Ste 1, Mcallen, TX 78503
Phone: 956-631-8875    Fax: 956-683-1502
Dr. Rachel Ann Gelman, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 5201 N G St, Mcallen, TX 78504
Phone: 956-305-5795    Fax: 956-618-4639
Cooper M Clark, D.O.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1309 E Ridge Rd, Suite 1, Mcallen, TX 78503
Phone: 956-631-8875    Fax: 956-682-6280
Dr. Wade Alan Graham, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Ridge Rd Ste 3, Mcallen, TX 78503
Phone: 956-429-4900    Fax: 956-429-4901
Dr. Nehal Rashmikant Patel, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1309 East Ridge Road, Suite 1, Mcallen, TX 78503
Phone: 956-631-8875    Fax: 956-631-9134
Dr. Shanna Jean Brown, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1309 E Ridge Rd Ste 1, Mcallen, TX 78503
Phone: 956-631-8875    Fax: 956-683-1502

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.