Luis David Cobas Amador, is a medicare enrolled "Nurse Practitioner - Family" physician in Winter Park, Florida. His current practice location is
1035 N Orlando Ave, Winter Park, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 678-3255.
Luis David Cobas Amador is licensed to practice in Florida (license number 11030142) 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 1679341291.
Physician's Profile
| Full Name | Luis David Cobas Amador |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1035 N Orlando Ave, Winter Park, Florida |
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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: 1679341291
- Provider Enumeration Date: 12/13/2023
- Last Update Date: 07/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860836285
- Enrollment ID: I20240213004885
Medical Identifiers
Medical identifiers for Luis David Cobas Amador such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679341291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | 11030142 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11030142 (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. Luis David Cobas Amador allows following entities to bill medicare on his behalf.
| Entity Name | Dr Jose A Rivera Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649881434
PECOS PAC ID: 1759792575
Enrollment ID: O20201201000579 |
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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. Luis David Cobas Amador 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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Luis David Cobas Amador,
2498 Conway Rd Apt 204,
Orlando, FL 32812-4311
Ph: (407) 502-9547 | Luis David Cobas Amador,
1035 N Orlando Ave,
Winter Park, FL 32789-2213
Ph: (407) 678-3255 |
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