Mary Melani Fuentes, is a medicare enrolled "Occupational Therapist" provider in Caldwell, Texas. Her current practice location is
345 Country Club Dr, Caldwell, Texas. You can reach out to her office (for appointments etc.) via phone at
(979) 567-4300.
Mary Melani Fuentes is licensed to practice in Texas (license number 113848) 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 1750796421.
Healthcare Provider's Profile
| Full Name | Mary Melani Fuentes |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 345 Country Club Dr, Caldwell, Texas |
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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: 1750796421
- Provider Enumeration Date: 06/21/2014
- Last Update Date: 06/21/2014
Medicare PECOS Information:
- PECOS PAC ID: 2264870971
- Enrollment ID: I20240401001252
Medical Identifiers
Medical identifiers for Mary Melani Fuentes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750796421 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 113848 (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. Mary Melani Fuentes allows following entities to bill medicare on her behalf.
| Provider Name | Legacy Healthcare Services Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1871132357
PECOS PAC ID: 2163339722
Enrollment ID: O20170201001261 |
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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. Mary Melani Fuentes 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 |
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Mary Melani Fuentes,
8085 Atlas Pear Dr, Apt 1418,
Bryan, TX 77807-1402
Ph: (848) 203-8152 | Mary Melani Fuentes,
345 Country Club Dr,
Caldwell, TX 77836-2328
Ph: (979) 567-4300 |
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