Enrique Jose Moreno Martinez, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Chuia Vista, California. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Sasha Salloum Md Inc A Professional Medical Corporation, Emergency And Acute Care Medical Corporation and his current practice location is
1111 Broadway Suite 305, Chuia Vista, California. You can reach out to his office (for appointments etc.) via phone at
(619) 567-7007.
Enrique Jose Moreno Martinez is licensed to practice in Nebraska (license number 28693) 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 1225349079.
Physician's Profile
| Full Name | Enrique Jose Moreno Martinez |
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| Gender | Male |
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| Speciality | Vascular Surgery |
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| Experience | 20 Years |
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| Location | 1111 Broadway Suite 305, Chuia Vista, California |
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| Accepts Medicare Assignments | Yes. He 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:
- Enrique Jose Moreno Martinez graduated from medical school in 2004
NPI Data:
- NPI Number: 1225349079
- Provider Enumeration Date: 06/27/2010
- Last Update Date: 11/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032426135
- Enrollment ID: I20220620001090
Medical Identifiers
Medical identifiers for Enrique Jose Moreno Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225349079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 28693 (Nebraska) | Secondary |
| 208600000X | Surgery | ME121618 (Florida) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | ME121618 (Florida) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 28693 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sasha Salloum Md Inc A Professional Medical Corporation | 5991012130 | 8 |
| Emergency And Acute Care Medical Corporation | 9537108279 | 394 |
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. Enrique Jose Moreno Martinez allows following entities to bill medicare on his behalf.
| Entity Name | Emergency And Acute Care Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437103942
PECOS PAC ID: 9537108279
Enrollment ID: O20050502000734 |
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| Entity Name | Sasha Salloum Md Inc A Professional Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578949889
PECOS PAC ID: 5991012130
Enrollment ID: O20151007001277 |
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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. Enrique Jose Moreno Martinez 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 |
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Enrique Jose Moreno Martinez, MD
1111 Broadway Suite 305,
Chuia Vista, CA 91911
Ph: (619) 567-7007 | Enrique Jose Moreno Martinez, MD
1111 Broadway Suite 305,
Chuia Vista, CA 91911
Ph: (619) 567-7007 |
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