Dr Jonathan William Pino, MD is a medicare enrolled "Family Medicine" physician in Emory, Texas. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ut East Texas Urgent Care Centers and his current practice location is
650 E Lennon Dr, Emory, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 473-7234.
Dr Jonathan William Pino is licensed to practice in Texas (license number N4671) 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 1124356613.
Physician's Profile
| Full Name | Dr Jonathan William Pino |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 18 Years |
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| Location | 650 E Lennon Dr, Emory, Texas |
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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:
- Dr Jonathan William Pino graduated from medical school in 2006
NPI Data:
- NPI Number: 1124356613
- Provider Enumeration Date: 11/23/2009
- Last Update Date: 11/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628112992
- Enrollment ID: I20100224000713
Medical Identifiers
Medical identifiers for Dr Jonathan William Pino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124356613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | N4671 (Texas) | Primary |
| 207Q00000X | Family Medicine | 01066883 (Indiana) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ut East Texas Urgent Care Centers | 7517385388 | 5 |
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 Jonathan William Pino allows following entities to bill medicare on his behalf.
| Entity Name | Christus Trinity Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091 |
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| Entity Name | Family First Express Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679127393
PECOS PAC ID: 3476885872
Enrollment ID: O20191105001538 |
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| Entity Name | Ut East Texas Urgent Care Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356974281
PECOS PAC ID: 7517385388
Enrollment ID: O20200910000672 |
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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 Jonathan William Pino 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 Jonathan William Pino, MD
454 Vz County Road 2206,
Canton, TX 75103-5351
Ph: (940) 613-5202 | Dr Jonathan William Pino, MD
650 E Lennon Dr,
Emory, TX 75440-3227
Ph: (903) 473-7234 |
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