Veronica Sepulveda, MD - Medicare Pediatrics in San Juan, PR

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Veronica Sepulveda, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in San Juan, Puerto Rico. Her current practice location is Po Box 191079, San Juan, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at (787) 474-0333.

Veronica Sepulveda is licensed to practice in Puerto Rico (license number 18742) 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 1649558719.

Contact Information

Veronica Sepulveda, MD
Po Box 191079,
San Juan, PR 00919-1079
(787) 474-0333
Not Available

Map and Direction




Physician's Profile

Full NameVeronica Sepulveda
GenderFemale
SpecialityPediatrics - Pediatric Emergency Medicine
LocationPo Box 191079, San Juan, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649558719
  • Provider Enumeration Date: 07/23/2011
  • Last Update Date: 09/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2163710633
  • Enrollment ID: I20161017000906

Medical Identifiers

Medical identifiers for Veronica Sepulveda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649558719NPI-NPPES
201393240MedicaidIN
7100419360MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 18742 (Puerto Rico)Secondary
208000000XPediatrics 48877 (Kentucky)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine 18742 (Puerto Rico)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. Veronica Sepulveda allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Louisville Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366722316
PECOS PAC ID: 3476725599
Enrollment ID: O20111017000036

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. Veronica Sepulveda 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
Veronica Sepulveda, MD
Urb Montehiedra, 107 Calle Pitirre, Montehiedra,
San Juan, PR 00926

Ph: (787) 923-3111		Veronica Sepulveda, MD
Po Box 191079,
San Juan, PR 00919-1079

Ph: (787) 474-0333

Reviews and Comments


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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).

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