Jose Adolfo Gonzalez Villalba, MD is a medicare enrolled "Internal Medicine" physician in Union, South Carolina. His current practice location is
322 W South St, Union, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 429-8029.
Jose Adolfo Gonzalez Villalba is licensed to practice in South Carolina (license number 86507) 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 1164875902.
Physician's Profile
| Full Name | Jose Adolfo Gonzalez Villalba |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 322 W South St, Union, South Carolina |
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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:
- Jose Adolfo Gonzalez Villalba attended and graduated from in
NPI Data:
- NPI Number: 1164875902
- Provider Enumeration Date: 07/18/2016
- Last Update Date: 09/27/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jose Adolfo Gonzalez Villalba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164875902 | NPI | - | NPPES |
| 865077 | Medicaid | SC | |
| SCL150H888 | Other | SC | MEDICARE PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | D0091283 (Maryland) | Secondary |
| 208M00000X | Hospitalist | DR.0062854 (Colorado) | Secondary |
| 207R00000X | Internal Medicine | 86507 (South Carolina) | Primary |
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. Jose Adolfo Gonzalez Villalba 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 |
|---|
Jose Adolfo Gonzalez Villalba, MD
Po Box 2168,
Spartanburg, SC 29304-2168
Ph: (864) 560-4304 | Jose Adolfo Gonzalez Villalba, MD
322 W South St,
Union, SC 29379-2839
Ph: (864) 429-8029 |
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