Dr Ileana Mustelier Pomares, MD is a medicare enrolled "Family Medicine" in Hialeah, Florida. Her current practice location is
3805 W 20th Ave Ste 105, Hialeah, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 557-2277.
Dr Ileana Mustelier Pomares is licensed to practice in Florida (license number ACN1318) 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 1649874868.
Provider's Profile
| Full Name | Dr Ileana Mustelier Pomares |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 3805 W 20th Ave Ste 105, Hialeah, Florida |
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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: 1649874868
- Provider Enumeration Date: 11/29/2020
- Last Update Date: 09/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587061171
- Enrollment ID: I20210923003719
Medical Identifiers
Medical identifiers for Dr Ileana Mustelier Pomares such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649874868 | NPI | - | NPPES |
| 111776200 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WG0000X | Registered Nurse - General Practice | RN9264333 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 022102 (Puerto Rico) | Secondary |
| 207Q00000X | Family Medicine | ACN1318 (Florida) | 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. Dr Ileana Mustelier Pomares allows following entities to bill medicare on her behalf.
| Entity Name | Access Medical Group Of Hialeah, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427330091
PECOS PAC ID: 3971740705
Enrollment ID: O20130726000260 |
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| Entity Name | Access Medical Group Of Miami, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619259264
PECOS PAC ID: 2062659899
Enrollment ID: O20130801000224 |
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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. Dr Ileana Mustelier Pomares 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 |
|---|
Dr Ileana Mustelier Pomares, MD
6100 Blue Lagoon Dr Ste 365,
Miami, FL 33126-7010
Ph: (786) 322-7333 | Dr Ileana Mustelier Pomares, MD
3805 W 20th Ave Ste 105,
Hialeah, FL 33012-4532
Ph: (305) 557-2277 |
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