Ismely Monduy Pinera, MD - Medicare General Practice in Hialeah, FL

Ismely Monduy Pinera, MD is a medicare enrolled "General Practice" physician in Hialeah, Florida. Her current practice location is 1975 W 44th Pl Apt A506, Hialeah, Florida. You can reach out to her office (for appointments etc.) via phone at (786) 720-2623.

Ismely Monduy Pinera is licensed to practice in Puerto Rico (license number 023410) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134852411.

Contact Information

Ismely Monduy Pinera, MD
1975 W 44th Pl Apt A506,
Hialeah, FL 33012-8416
(786) 720-2623
Not Available

Map and Direction




Physician's Profile

Full NameIsmely Monduy Pinera
GenderFemale
SpecialityGeneral Practice
Location1975 W 44th Pl Apt A506, Hialeah, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134852411
  • Provider Enumeration Date: 07/05/2022
  • Last Update Date: 07/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628415569
  • Enrollment ID: I20240327001088

Medical Identifiers

Medical identifiers for Ismely Monduy Pinera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134852411NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 023410 (Puerto Rico)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. Ismely Monduy Pinera allows following entities to bill medicare on her behalf.
Entity NameHealthstone Primary Care Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205280260
PECOS PAC ID: 7416230693
Enrollment ID: O20170214000968

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. Ismely Monduy Pinera 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
Ismely Monduy Pinera, MD
1975 W 44th Pl Apt A506,
Hialeah, FL 33012-8416

Ph: (786) 720-2623
Ismely Monduy Pinera, MD
1975 W 44th Pl Apt A506,
Hialeah, FL 33012-8416

Ph: (786) 720-2623

Reviews and Comments


General Practice Doctors in Hialeah, FL

Vandely Perez, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 5378 W 16th Ave, Hialeah, FL 33012
Phone: 305-820-4101    Fax: 305-820-2885
Pastor M Torres, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 665 E 49th St, Hialeah, FL 33013
Phone: 305-688-1700    Fax: 305-688-3735
Enrique Solis Lafont,
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Medicare: Accepting Medicare Assignments
Practice Location: 3746 W 12th Ave, Hialeah, FL 33012
Phone: 786-600-7560    Fax: 786-648-5503
Dr. Mario R Palomino, MD
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Medicare: Medicare Enrolled
Practice Location: 3805 W 20th Ave, Suite 105, Hialeah, FL 33012
Phone: 305-557-2277    Fax: 305-557-2278
Dr. Katia Fajardo Martinez, MD
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Medicare: Medicare Enrolled
Practice Location: 2750 W 68th St Ste 127-128, Hialeah, FL 33016
Phone: 305-558-0766    Fax: 305-558-0766
Edgardo B. Penabad, MD
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Medicare: Medicare Enrolled
Practice Location: 7590 Nw 186th St, Hialeah, FL 33015
Phone: 786-953-6293    Fax: 786-953-6891
Oscar Pazos Chavez, SRNA
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Medicare: Not Enrolled in Medicare
Practice Location: 211 W 34th St, Hialeah, FL 33012
Phone: 305-570-7428    

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.