Mary Temitope Ileso, DO - Medicare Family Medicine in Jbsa Randolph, TX

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Mary Temitope Ileso, DO is a medicare enrolled "Family Medicine" physician in Jbsa Randolph, Texas. Her current practice location is 221 3rd St W Bldg 1040, Jbsa Randolph, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 652-4127.

Mary Temitope Ileso is licensed to practice in Nebraska (license number NE2427) 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 1073171641.

Contact Information

Mary Temitope Ileso, DO
221 3rd St W Bldg 1040,
Jbsa Randolph, TX 78150-4800
(210) 652-4127
Not Available

Map and Direction




Physician's Profile

Full NameMary Temitope Ileso
GenderFemale
SpecialityFamily Medicine
Location221 3rd St W Bldg 1040, Jbsa Randolph, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073171641
  • Provider Enumeration Date: 05/30/2019
  • Last Update Date: 08/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941607766
  • Enrollment ID: I20210921003722

Medical Identifiers

Medical identifiers for Mary Temitope Ileso such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073171641NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0000000000 (Florida)Secondary
207Q00000XFamily Medicine NE2427 (Nebraska)Primary

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. Mary Temitope Ileso 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
Mary Temitope Ileso, DO
221 3rd St W Bldg 1040,
Jbsa Randolph, TX 78150-4800

Ph: (210) 652-4127		Mary Temitope Ileso, DO
221 3rd St W Bldg 1040,
Jbsa Randolph, TX 78150-4800

Ph: (210) 652-4127

Reviews and Comments


Family Medicine Doctors in Jbsa Randolph, TX

Andrew Pellegrin, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150
Phone: 210-652-8544    
Jessica-renee Gamboa, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 221 3rd St W, Jbsa Randolph, TX 78150
Phone: 210-652-8544    
Dr. William I Lin, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150
Phone: 830-298-6538    
Alexander Sparkman-royo, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150
Phone: 575-784-1104    
Dr. Kasey Carl Welch, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150
Phone: 210-652-4264    
Dr. Cecelia Mariko Luda, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 221 3rd St W, Jbsa Randolph, TX 78150
Phone: 210-565-0685    

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.