Juan Manuel Perez Quintana, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Phoenix, Arizona. His current practice location is
2601 E Roosevelt St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at
(601) 344-5011.
Juan Manuel Perez Quintana is licensed to practice in * (Not Available) (license number ) 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 1053930644.
Physician's Profile
Full Name | Juan Manuel Perez Quintana |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2601 E Roosevelt St, Phoenix, 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: 1053930644
- Provider Enumeration Date: 04/13/2020
- Last Update Date: 05/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688037823
- Enrollment ID: I20230906000108
Medical Identifiers
Medical identifiers for Juan Manuel Perez Quintana such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053930644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | A186249 (California) | 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. Juan Manuel Perez Quintana allows following entities to bill medicare on his behalf.
Entity Name | Inpatient Specialists Of California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952792475 PECOS PAC ID: 3476864448 Enrollment ID: O20150617000915 |
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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 Manuel Perez Quintana 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 Manuel Perez Quintana, MD 2101 N Waterman Ave, San Bernardino, CA 92404-4836 Ph: () - | Juan Manuel Perez Quintana, MD 2601 E Roosevelt St, Phoenix, AZ 85008-4973 Ph: (601) 344-5011 |
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