Jose Leonardo Villa Uribe, is a medicare enrolled "Emergency Medicine" physician in Wallingford, Connecticut. His current practice location is
900 Northrop Rd, Wallingford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 294-9153.
Jose Leonardo Villa Uribe is licensed to practice in Connecticut (license number 1.059957) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891180246.
Physician's Profile
| Full Name | Jose Leonardo Villa Uribe |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 900 Northrop Rd, Wallingford, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891180246
- Provider Enumeration Date: 04/02/2015
- Last Update Date: 06/21/2018
Medicare PECOS Information:
- PECOS PAC ID: 8022321934
- Enrollment ID: I20180719002113
Medical Identifiers
Medical identifiers for Jose Leonardo Villa Uribe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891180246 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 1.059957 (Connecticut) | 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. Jose Leonardo Villa Uribe allows following entities to bill medicare on his behalf.
| Entity Name | The Hospital Of Central Connecticut At New Britain General And Bradley |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063461481
PECOS PAC ID: 6507776564
Enrollment ID: O20040115000497 |
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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. Jose Leonardo Villa Uribe 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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Jose Leonardo Villa Uribe,
900 Northrop Rd,
Wallingford, CT 06492-1997
Ph: (203) 949-1534 | Jose Leonardo Villa Uribe,
900 Northrop Rd,
Wallingford, CT 06492
Ph: (203) 294-9153 |
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