Mrs Marivel Lydia Cavazos-pantoja, RN, FNP in Mcallen, TX

Mrs Marivel Lydia Cavazos-pantoja, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mcallen, Texas. Her current practice location is 620 S Broadway St, Mcallen, Texas. You can reach out to her office (for appointments etc.) via phone at (956) 686-4224.

Mrs Marivel Lydia Cavazos-pantoja is licensed to practice in Texas (license number AP115092) 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 1598995607.

Contact Information

	Mrs Marivel Lydia Cavazos-pantoja, RN, FNP
	620 S Broadway St, Mcallen, TX 78501-4906
	(956) 686-4224
	(956) 331-2331

Map and Direction

Provider's Profile

Full Name	Mrs Marivel Lydia Cavazos-pantoja
Gender	Female
Speciality	Nurse Practitioner - Family
Location	620 S Broadway St, Mcallen, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598995607
Provider Enumeration Date: 07/23/2009
Last Update Date: 04/05/2024

Medicare PECOS Information:

PECOS PAC ID: 4587789474
Enrollment ID: I20100915001104

Medical Identifiers

Medical identifiers for Mrs Marivel Lydia Cavazos-pantoja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598995607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	AP115092 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	AP115092 (Texas)	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. Mrs Marivel Lydia Cavazos-pantoja allows following entities to bill medicare on her behalf.

Entity Name	Utmb Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438

Entity Name	Sarojini Bose Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609066257 PECOS PAC ID: 5991728297 Enrollment ID: O20060112000902

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. Mrs Marivel Lydia Cavazos-pantoja 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
Mrs Marivel Lydia Cavazos-pantoja, RN, FNP 1211 N Raul Longoria Rd, St C, San Juan, TX 78589-3713 Ph: (956) 782-7878	Mrs Marivel Lydia Cavazos-pantoja, RN, FNP 620 S Broadway St, Mcallen, TX 78501-4906 Ph: (956) 686-4224

Reviews and Comments

Nurse Practitioner Nurses in Mcallen, TX

Semper Lumine Tanamor Sojor, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Beech Ave Ste 100, Mcallen, TX 78501 Phone: 956-800-5171 Fax: 956-800-5178
Liji Ann Mathew, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 E Nolana Ave Ste 13a, Mcallen, TX 78504 Phone: 956-686-2700 Fax: 956-686-2708
Gabino Vicente Leal, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 121 E Quamasia Ave Apt 127, Mcallen, TX 78504 Phone: 956-570-2127
Martin Vicente Hernandez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1421 N Col Rowe Blvd Ste A, Mcallen, TX 78501 Phone: 956-362-5030 Fax: 956-362-5035
Uloma Ezinne Obi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 E Savannah Ave Ste 203, Mcallen, TX 78503 Phone: 956-212-5255
Mr. Ignacio Villarreal Ii, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4418 N Mccoll Road, Mcallen, TX 78504 Phone: 956-994-3771 Fax: 956-994-9082
Andrea Fernandez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 E Ridge Rd Ste C, Mcallen, TX 78503 Phone: 956-317-4243 Fax: 956-800-4275

Mrs Marivel Lydia Cavazos-pantoja, RN, FNP - Medicare Nurse Practitioner in Mcallen, TX