Luisamari Dorna Perez, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in San Juan, Puerto Rico. Her current practice location is
University District Hospital Puerto Rico Medical Center, Bo. Monacillos, San Juan, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at
(787) 754-0101.
Luisamari Dorna Perez is licensed to practice in Puerto Rico (license number 4847418) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598116881.
Physician's Profile
| Full Name | Luisamari Dorna Perez |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | University District Hospital Puerto Rico Medical Center, San Juan, Puerto Rico |
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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: 1598116881
- Provider Enumeration Date: 06/28/2016
- Last Update Date: 07/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 1153727201
- Enrollment ID: I20210915000983
Medical Identifiers
Medical identifiers for Luisamari Dorna Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598116881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 4847418 (Puerto Rico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 4847418 (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. Luisamari Dorna Perez allows following entities to bill medicare on her behalf.
| Entity Name | Mennonite General Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851320394
PECOS PAC ID: 6709843964
Enrollment ID: O20041220000467 |
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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. Luisamari Dorna Perez 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 |
|---|
Luisamari Dorna Perez,
Po Box 2116, University District Hospital Puerto Rico Medical Center,
San Juan, PR 00922-2116
Ph: (787) 754-0101 | Luisamari Dorna Perez,
University District Hospital Puerto Rico Medical Center, Bo. Monacillos,
San Juan, PR 00935-0001
Ph: (787) 754-0101 |
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