Mario Raul Villalba, MD - Medicare General Surgery in Royal Oak, MI

Mario Raul Villalba, MD is a medicare enrolled "Surgery" physician in Royal Oak, Michigan. He went to Wayne State University School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Michigan Healthcare Professionals Pc, Beaumont Medical Group Hospital Based Services and his current practice location is 3535 W 13 Mile Rd, Suite 501, Royal Oak, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 288-1130.

Mario Raul Villalba is licensed to practice in Michigan (license number 4301084028) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285849190.

Contact Information

Mario Raul Villalba, MD
3535 W 13 Mile Rd, Suite 501,
Royal Oak, MI 48073-6770
(248) 288-1130
Not Available

Map and Direction




Physician's Profile

Full NameMario Raul Villalba
GenderMale
SpecialityGeneral Surgery
Experience20 Years
Location3535 W 13 Mile Rd, Royal Oak, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mario Raul Villalba attended and graduated from Wayne State University School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1285849190
  • Provider Enumeration Date: 05/14/2007
  • Last Update Date: 10/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8921276114
  • Enrollment ID: I20110713000679

Medical Identifiers

Medical identifiers for Mario Raul Villalba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285849190NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 4301084028 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital Royal OakRoyal oak, MIHospital
Beaumont Hospital, TroyTroy, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Michigan Healthcare Professionals Pc0345413258451
Beaumont Medical Group Hospital Based Services3072875889464

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. Mario Raul Villalba allows following entities to bill medicare on his behalf.
Entity NameMichigan Healthcare Professionals Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295023547
PECOS PAC ID: 0345413258
Enrollment ID: O20111109000027
Entity NameBeaumont Medical Group Hospital Based Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427567858
PECOS PAC ID: 3072875889
Enrollment ID: O20180314001796

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. Mario Raul Villalba 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
Mario Raul Villalba, MD
3535 W 13 Mile Rd, Suite 501,
Royal Oak, MI 48073-6770

Ph: (248) 288-1130
Mario Raul Villalba, MD
3535 W 13 Mile Rd, Suite 501,
Royal Oak, MI 48073-6770

Ph: (248) 288-1130

Reviews and Comments


Surgery Doctors in Royal Oak, MI

Begum Akay, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 3535 W 13 Mile Rd Ste 307, Royal Oak, MI 48073
Phone: 248-551-2400    Fax: 248-551-6556
Wesley Richard Barnes, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-2800    Fax: 248-898-2898
Dr. Samantha Denae Kraemer, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 517-474-1989    
Sayee Hardas Kiran, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd Ste Bcc, Royal Oak, MI 48073
Phone: 248-551-3300    Fax: 248-551-3370
Sean Elliot Masters, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-2673    
Mohsen Bannazadeh,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-5000    
Dr. Jason Kimball Shellnut, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1121 Crooks Rd, Royal Oak, MI 48067
Phone: 248-541-8554    Fax: 248-541-1791

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.