Luis Ivan Rosa Benique, MD in Aguada, PR - Medicare General Practice

Luis Ivan Rosa Benique, MD is a medicare enrolled "General Practice" physician in Aguada, Puerto Rico. His current practice location is Bo Naranjo Carr 417 R 4415 Km 3.6, Aguada, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (939) 288-8145.

Luis Ivan Rosa Benique is licensed to practice in Puerto Rico (license number 22852) 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 1669015319.

Contact Information

	Luis Ivan Rosa Benique, MD
	Bo Naranjo Carr 417 R 4415 Km 3.6, Aguada, PR 00602
	(939) 288-8145
	Not Available

Map and Direction

Physician's Profile

Full Name	Luis Ivan Rosa Benique
Gender	Male
Speciality	General Practice
Location	Bo Naranjo Carr 417 R 4415 Km 3.6, Aguada, Puerto Rico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669015319
Provider Enumeration Date: 10/25/2019
Last Update Date: 08/23/2022

Medicare PECOS Information:

PECOS PAC ID: 3173963394
Enrollment ID: I20240504000006

Medical Identifiers

Medical identifiers for Luis Ivan Rosa Benique such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669015319	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	22852 (Puerto Rico)	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 Ivan Rosa Benique allows following entities to bill medicare on his behalf.

Entity Name	Mediko Medicina Primaria Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609096981 PECOS PAC ID: 5991172843 Enrollment ID: O20221104001869

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 Ivan Rosa Benique 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
Luis Ivan Rosa Benique, MD Hc- 56 Box 46772, Aguada, PR 00602 Ph: (939) 288-8145	Luis Ivan Rosa Benique, MD Bo Naranjo Carr 417 R 4415 Km 3.6, Aguada, PR 00602 Ph: (939) 288-8145

Reviews and Comments

General Practice Doctors in Aguada, PR

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Luis Ivan Rosa Benique, MD - Medicare General Practice in Aguada, PR