Jessica Telleria-cano, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Miami, Florida. Her current practice location is
1611 Nw 12th Ave, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(773) 702-1150.
Jessica Telleria-cano is licensed to practice in * (Not Available) (license number ) 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 1407387558.
Physician's Profile
Full Name | Jessica Telleria-cano |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1611 Nw 12th Ave, Miami, Florida |
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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: 1407387558
- Provider Enumeration Date: 03/21/2017
- Last Update Date: 10/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850648445
- Enrollment ID: I20221116000832
Medical Identifiers
Medical identifiers for Jessica Telleria-cano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407387558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | ME156330 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Jessica Telleria-cano allows following entities to bill medicare on her behalf.
Entity Name | Leon Medical Centers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376579839 PECOS PAC ID: 9537066618 Enrollment ID: O20031217000140 |
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Entity Name | Central Illinois Radiological Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20140716002009 |
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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. Jessica Telleria-cano 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 |
Jessica Telleria-cano, MD 9220 Sw 101st St, Miami, FL 33176-3039 Ph: (305) 322-4864 | Jessica Telleria-cano, MD 1611 Nw 12th Ave, Miami, FL 33136-1005 Ph: (773) 702-1150 |
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