Juan C Pallares, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Defiance, Arizona. His current practice location is
Corner Route N12 And N7, Fort Defiance, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 729-8000.
Juan C Pallares is licensed to practice in Texas (license number F8602) 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 1578544987.
Physician's Profile
Full Name | Juan C Pallares |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | Corner Route N12 And N7, Fort Defiance, Arizona |
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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: 1578544987
- Provider Enumeration Date: 11/11/2005
- Last Update Date: 11/16/2015
Medicare PECOS Information:
- PECOS PAC ID: 4587761564
- Enrollment ID: I20140821001293
Medical Identifiers
Medical identifiers for Juan C Pallares such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578544987 | NPI | - | NPPES |
110390504 | Medicaid | TX | |
110390505 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | F8602 (Texas) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | ME87312 (Florida) | Secondary |
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. Juan C Pallares allows following entities to bill medicare on his behalf.
Entity Name | Singleton Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
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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. Juan C Pallares 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 |
Juan C Pallares, MD Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000 | Juan C Pallares, MD Corner Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000 |
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