Juan R Telleria I, MD in Miami, FL

Juan R Telleria I, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Miami, Florida. His current practice location is 11750 Sw 40th St, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 665-4614.

Juan R Telleria I is licensed to practice in Florida (license number ME0047091) 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 1740324680.

Contact Information

	Juan R Telleria I, MD
	11750 Sw 40th St, Miami, FL 33175-3530
	(305) 665-4614
	(305) 667-0239

Map and Direction

Physician's Profile

Full Name	Juan R Telleria I
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	11750 Sw 40th St, Miami, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740324680
Provider Enumeration Date: 02/16/2007
Last Update Date: 05/02/2012

Medicare PECOS Information:

PECOS PAC ID: 7517930407
Enrollment ID: I20190429002575

Medical Identifiers

Medical identifiers for Juan R Telleria I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740324680	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	ME0047091 (Florida)	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 R Telleria I allows following entities to bill medicare on his behalf.

Entity Name	Leon Medical Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376579839 PECOS PAC ID: 9537066618 Enrollment ID: O20031217000140

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 R Telleria I 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 R Telleria I, MD 5901 Sw 74th St, Suite 202, Miami, FL 33143-5165 Ph: (305) 665-4614	Juan R Telleria I, MD 11750 Sw 40th St, Miami, FL 33175-3530 Ph: (305) 665-4614

Reviews and Comments

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Roberto Calderon, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 11750 Sw 40th St, Miami, FL 33175 Phone: 305-665-4614 Fax: 305-667-0239

Juan R Telleria I, MD - Medicare Radiology in Miami, FL