Miguel Angel Leon, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Modesto, California. His current practice location is
4601 Dale Rd, Modesto, California. You can reach out to his office (for appointments etc.) via phone at
(155) 950-0171.
Miguel Angel Leon is licensed to practice in * (Not Available) (license number ) 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 1134613987.
Physician's Profile
| Full Name | Miguel Angel Leon |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4601 Dale Rd, Modesto, California |
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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: 1134613987
- Provider Enumeration Date: 06/15/2018
- Last Update Date: 04/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850835539
- Enrollment ID: I20240705001344
Medical Identifiers
Medical identifiers for Miguel Angel Leon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134613987 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | A185138 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Miguel Angel Leon allows following entities to bill medicare on his behalf.
| Entity Name | Amador Emergency Physicians Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417040619
PECOS PAC ID: 2567495716
Enrollment ID: O20050916000969 |
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| Entity Name | Emergency Medicine Physician Partners Of El Dorado County Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619278660
PECOS PAC ID: 1456530153
Enrollment ID: O20110127000352 |
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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. Miguel Angel Leon 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 |
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Miguel Angel Leon,
4601 Dale Rd,
Modesto, CA 95356-9718
Ph: (155) 950-0171 | Miguel Angel Leon,
4601 Dale Rd,
Modesto, CA 95356-9718
Ph: (155) 950-0171 |
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