Kevin Jose Caballero, MD is a medicare enrolled "Family Medicine - Adult Medicine" provider in Mayaguez, Puerto Rico. His current practice location is
410 Ave Hostos, Mayaguez, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at
(787) 652-9200.
Kevin Jose Caballero is licensed to practice in Colorado (license number DR.0073329) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477145142.
Healthcare Provider's Profile
| Full Name | Kevin Jose Caballero |
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| Gender | Male |
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| Speciality | Family Medicine - Adult Medicine |
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| Location | 410 Ave Hostos, Mayaguez, Puerto Rico |
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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: 1477145142
- Provider Enumeration Date: 02/04/2021
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648716100
- Enrollment ID: I20240722001230
Medical Identifiers
Medical identifiers for Kevin Jose Caballero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477145142 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 36284R (Puerto Rico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | DR.0073329 (Colorado) | 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. Kevin Jose Caballero allows following entities to bill medicare on his behalf.
| Entity Name | Lutheran Hospital Association Of The San Luis Valley |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235181744
PECOS PAC ID: 4789589094
Enrollment ID: O20031201000318 |
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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. Kevin Jose Caballero 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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Kevin Jose Caballero, MD
Urb. El Rocio Calle Mimosa #60,
Cayey, PR 00736
Ph: (787) 930-0720 | Kevin Jose Caballero, MD
410 Ave Hostos,
Mayaguez, PR 00682-1560
Ph: (787) 652-9200 |
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