Vernon Villanueva, PT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Williamsburg, New Mexico. His current practice location is
720 Broadway St Apt 9, Williamsburg, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(210) 544-4857.
Vernon Villanueva is licensed to practice in New Mexico (license number 4949) 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 1912445214.
Physician's Profile
Full Name | Vernon Villanueva |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 720 Broadway St Apt 9, Williamsburg, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912445214
- Provider Enumeration Date: 02/07/2017
- Last Update Date: 03/08/2018
Medicare PECOS Information:
- PECOS PAC ID: 8224390620
- Enrollment ID: I20180323000368
Medical Identifiers
Medical identifiers for Vernon Villanueva such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912445214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 4949 (New Mexico) | 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. Vernon Villanueva allows following entities to bill medicare on his behalf.
Entity Name | Rehabilitation & Occupational Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205981339 PECOS PAC ID: 8628963329 Enrollment ID: O20040220000637 |
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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. Vernon Villanueva 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 |
Vernon Villanueva, PT 3530 Foothills Rd, Ste N, Las Cruces, NM 88011-3621 Ph: (575) 532-6054 | Vernon Villanueva, PT 720 Broadway St Apt 9, Williamsburg, NM 87942 Ph: (210) 544-4857 |
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