Artessa Fontamillas De Leon, is a medicare enrolled "Physical Therapist" provider in Cooper, Texas. Her current practice location is
110 Highway 64 W, Cooper, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 395-2125.
Artessa Fontamillas De Leon is licensed to practice in Texas (license number 1246040) 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 1356823199.
Healthcare Provider's Profile
| Full Name | Artessa Fontamillas De Leon |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 110 Highway 64 W, Cooper, 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: 1356823199
- Provider Enumeration Date: 08/29/2018
- Last Update Date: 08/29/2018
Medicare PECOS Information:
- PECOS PAC ID: 3072045186
- Enrollment ID: I20241015000221
Medical Identifiers
Medical identifiers for Artessa Fontamillas De Leon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356823199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 1246040 (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. Artessa Fontamillas De Leon allows following entities to bill medicare on her behalf.
| Provider Name | Hunt Memorial Hospital District |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598750721
PECOS PAC ID: 6406768936
Enrollment ID: O20040424000352 |
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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. Artessa Fontamillas De Leon 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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Artessa Fontamillas De Leon,
110 Highway 64 W,
Cooper, TX 75432-9734
Ph: (903) 395-2125 | Artessa Fontamillas De Leon,
110 Highway 64 W,
Cooper, TX 75432-9734
Ph: (903) 395-2125 |
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