Dr Stella Heredia, MD is a medicare enrolled "General Practice" physician in Frostproof, Florida. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Centerwell Senior Primary Care Fl Inc. and her current practice location is
109 W Wall St, Frostproof, Florida. You can reach out to her office (for appointments etc.) via phone at
(866) 234-8534.
Dr Stella Heredia is licensed to practice in Florida (license number ACN1393) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902475288.
Physician's Profile
| Full Name | Dr Stella Heredia |
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| Gender | Female |
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| Speciality | General Practice |
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| Experience | 22 Years |
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| Location | 109 W Wall St, Frostproof, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Stella Heredia graduated from medical school in 2002
NPI Data:
- NPI Number: 1902475288
- Provider Enumeration Date: 06/22/2021
- Last Update Date: 11/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 1951790211
- Enrollment ID: I20211109000124
Medical Identifiers
Medical identifiers for Dr Stella Heredia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902475288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 22443 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN1393 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Centerwell Senior Primary Care Fl Inc. | 9830184738 | 75 |
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 Stella Heredia allows following entities to bill medicare on her behalf.
| Entity Name | Central Florida Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467449660
PECOS PAC ID: 0143127951
Enrollment ID: O20031218000228 |
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| Entity Name | Centerwell Senior Primary Care Fl Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487686705
PECOS PAC ID: 9830184738
Enrollment ID: O20040419001657 |
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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 Stella Heredia 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 Stella Heredia, MD
47 5th St Nw,
Winter Haven, FL 33881-4672
Ph: (866) 234-8534 | Dr Stella Heredia, MD
109 W Wall St,
Frostproof, FL 33843-2043
Ph: (866) 234-8534 |
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