Dr Rubio Reyes Punzalan, MD is a medicare enrolled "General Practice" physician in San Marino, California. His current practice location is
1241 Encino Dr, San Marino, California. You can reach out to his office (for appointments etc.) via phone at
(626) 201-9893.
Dr Rubio Reyes Punzalan is licensed to practice in California (license number A66411) 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 1093937708.
Physician's Profile
Full Name | Dr Rubio Reyes Punzalan |
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Gender | Male |
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Speciality | General Practice |
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Location | 1241 Encino Dr, San Marino, California |
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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: 1093937708
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 12/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 0648166801
- Enrollment ID: I20040302001416
Medical Identifiers
Medical identifiers for Dr Rubio Reyes Punzalan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093937708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A66411 (California) | Secondary |
208D00000X | General Practice | A66411 (California) | 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 Rubio Reyes Punzalan allows following entities to bill medicare on his behalf.
Entity Name | Thomas G Hirose Md Apc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275622748 PECOS PAC ID: 7517962921 Enrollment ID: O20080212000300 |
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Entity Name | La Paz Medical Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124452875 PECOS PAC ID: 4486873270 Enrollment ID: O20140909002025 |
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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 Rubio Reyes Punzalan 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 Rubio Reyes Punzalan, MD 1241 Encino Dr, San Marino, CA 91108-1009 Ph: (626) 201-9893 | Dr Rubio Reyes Punzalan, MD 1241 Encino Dr, San Marino, CA 91108 Ph: (626) 201-9893 |
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