Luis Valencia, MD - Medicare Pediatrics in Rio Grande City, TX

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Luis Valencia, MD is a medicare enrolled "Pediatrics" physician in Rio Grande City, Texas. His current practice location is 131 N Fm 3167 Ste D, Rio Grande City, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 317-1126.

Luis Valencia is licensed to practice in Texas (license number L2722) 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 1871501957.

Contact Information

Luis Valencia, MD
131 N Fm 3167 Ste D,
Rio Grande City, TX 78582-7009
(956) 317-1126
(956) 317-1026

Map and Direction




Physician's Profile

Full NameLuis Valencia
GenderMale
SpecialityPediatrics
Location131 N Fm 3167 Ste D, Rio Grande City, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871501957
  • Provider Enumeration Date: 08/04/2006
  • Last Update Date: 08/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3779473475
  • Enrollment ID: I20040317000526

Medical Identifiers

Medical identifiers for Luis Valencia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871501957NPI-NPPES
145038902MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0101276376 (Virginia)Secondary
208M00000XHospitalist L2722 (Texas)Secondary
208000000XPediatrics L2722 (Texas)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 Valencia allows following entities to bill medicare on his behalf.
Entity NameTexas Tech University Health Sciences Center El Paso
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598705055
PECOS PAC ID: 7517864754
Enrollment ID: O20031216000806
Entity NameChildren's Physician Services Of South Texas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568658227
PECOS PAC ID: 3678478872
Enrollment ID: O20040324001704

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 Valencia 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 AddressPractice Location Address
Luis Valencia, MD
131 N Fm 3167 Ste D,
Rio Grande City, TX 78582-7009

Ph: (956) 317-1126		Luis Valencia, MD
131 N Fm 3167 Ste D,
Rio Grande City, TX 78582-7009

Ph: (956) 317-1126

Reviews and Comments


Pediatrics Doctors in Rio Grande City, TX

Stanislaus Nwafor Uzoigwe, MD PA
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 201 E 2nd St, Rio Grande City, TX 78582
Phone: 956-488-1200    Fax: 956-488-9500

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.