Ismael Pereira, PA-C is a medicare enrolled "Phlebology" in Albuquerque, New Mexico. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Innova Vein And Vascular Llc and his current practice location is
4600 Montgomery Blvd Ne # B, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 924-5840.
Ismael Pereira is licensed to practice in New Mexico (license number PA2016-0096) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568913911.
Provider's Profile
| Full Name | Ismael Pereira |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 4600 Montgomery Blvd Ne # B, Albuquerque, New Mexico |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ismael Pereira graduated from nursing school in 2016
NPI Data:
- NPI Number: 1568913911
- Provider Enumeration Date: 10/20/2016
- Last Update Date: 07/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668754318
- Enrollment ID: I20170113000060
Medical Identifiers
Medical identifiers for Ismael Pereira such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568913911 | NPI | - | NPPES |
| PA20160096 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA20160096 (New Mexico) | Secondary |
| 202K00000X | Phlebology | PA2016-0096 (New Mexico) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Innova Vein And Vascular Llc | 3779890793 | 2 |
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. Ismael Pereira 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 |
|---|
Ismael Pereira, PA-C
Po Box 91224,
Albuquerque, NM 87199-1224
Ph: (505) 924-5840 | Ismael Pereira, PA-C
4600 Montgomery Blvd Ne # B,
Albuquerque, NM 87109
Ph: (505) 924-5840 |
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