Mr Luis Antonio Caceres Villalta, MD in Corona, NY

Mr Luis Antonio Caceres Villalta, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Corona, New York. His current practice location is 3716 108th St, Corona, New York. You can reach out to his office (for appointments etc.) via phone at (718) 651-4000.

Mr Luis Antonio Caceres Villalta is licensed to practice in New York (license number 310925-01) 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 1053803742.

Contact Information

	Mr Luis Antonio Caceres Villalta, MD
	3716 108th St, Corona, NY 11368-2025
	(718) 651-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Luis Antonio Caceres Villalta
Gender	Male
Speciality	Family Medicine - Adult Medicine
Location	3716 108th St, Corona, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053803742
Provider Enumeration Date: 05/30/2018
Last Update Date: 07/07/2021

Medicare PECOS Information:

PECOS PAC ID: 3779829510
Enrollment ID: I20240426002437

Medical Identifiers

Medical identifiers for Mr Luis Antonio Caceres Villalta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053803742	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0505X	Family Medicine - Adult Medicine	310925-01 (New York)	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. Mr Luis Antonio Caceres Villalta allows following entities to bill medicare on his behalf.

Entity Name	Urban Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265596548 PECOS PAC ID: 3173517281 Enrollment ID: O20040412001518

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. Mr Luis Antonio Caceres Villalta 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
Mr Luis Antonio Caceres Villalta, MD 3716 108th St, Corona, NY 11368-2025 Ph: (718) 651-4000	Mr Luis Antonio Caceres Villalta, MD 3716 108th St, Corona, NY 11368-2025 Ph: (718) 651-4000

Reviews and Comments

Family Medicine Doctors in Corona, NY

Dr. Matthew Kusher, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3716 108th St, Corona, NY 11368 Phone: 718-651-4000
Izolda Mikhaylov, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 9815 Horace Harding Expy, Corona, NY 11368 Phone: 718-699-8500
Dr. Hamid I Lalani, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3719 108th St, Corona, NY 11368 Phone: 718-406-9032
Dr. Irfan Jadavji, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3716 108th St, Corona, NY 11368 Phone: 718-651-4000
Mrs. Smita Lodha, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9606 Northern Blvd, Corona, NY 11368 Phone: 718-335-4747 Fax: 718-476-2626
Dr. Udit Kondal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3716 108th St, Corona, NY 11368 Phone: 718-589-2440

Mr Luis Antonio Caceres Villalta, MD - Medicare Family Medicine in Corona, NY