Amistad Medical Professionals - Medicare Primary Care in Del Rio, TX

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Amistad Medical Professionals is a medicare enrolled primary clinic (Internal Medicine) in Del Rio, Texas. The current practice location for Amistad Medical Professionals is 1200 N Bedell Ave, Del Rio, Texas. For appointments, you can reach them via phone at (830) 774-4580. The mailing address for Amistad Medical Professionals is Po Box 437, San Antonio, Texas and phone number is (210) 558-6288.

Amistad Medical Professionals is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1912211913. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (830) 774-4580.

Contact Information

Amistad Medical Professionals
1200 N Bedell Ave
Del Rio
TX 78840-4491
(830) 774-4580
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameAmistad Medical Professionals
SpecialityInternal Medicine
Location1200 N Bedell Ave, Del Rio, Texas
Authorized Official Name and PositionAdrian F Larson (SENIOR DIRECTOR OF OUPATIENT SERVIC)
Authorized Official Contact8307744580
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amistad Medical Professionals
Po Box 437
San Antonio
TX 78292-0437

Ph: (210) 558-6288		Amistad Medical Professionals
1200 N Bedell Ave
Del Rio
TX 78840-4491

Ph: (830) 774-4580

NPI Details:

NPI Number1912211913
Provider Enumeration Date08/02/2010
Last Update Date03/06/2015

Medicare PECOS Information:

Medicare PECOS PAC ID7719171545
Medicare Enrollment IDO20101104001611

Medical Identifiers

Medical identifiers for Amistad Medical Professionals such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912211913NPI-NPPES
281839501MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Amistad Medical Professionals acts as a billing entity for following providers:
Provider NameKenneth P Moore
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1700094240
PECOS PAC ID: 5698675353
Enrollment ID: I20040109001069
Provider NameDwan M Turner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1679669865
PECOS PAC ID: 1759374028
Enrollment ID: I20040405000675
Provider NameDaniel J Chartrand
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1891839098
PECOS PAC ID: 7517950306
Enrollment ID: I20040407000262
Provider NameAbraham Jacob
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1679513626
PECOS PAC ID: 2466479787
Enrollment ID: I20051026000803
Provider NameMoira E Graham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649243494
PECOS PAC ID: 0840332144
Enrollment ID: I20100125000836
Provider NameMark G Manning
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1780665711
PECOS PAC ID: 9638212012
Enrollment ID: I20100208000196
Provider NameRoy A Guerrero
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376734558
PECOS PAC ID: 7517083934
Enrollment ID: I20100923000085
Provider NameJorge E Olaya
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1578753729
PECOS PAC ID: 3971792490
Enrollment ID: I20110113000672
Provider NameIra L Floyd
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1497751606
PECOS PAC ID: 3577749753
Enrollment ID: I20110524000540
Provider NameTerry Michael Lindsey
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1790880979
PECOS PAC ID: 9537337605
Enrollment ID: I20110714000729
Provider NameStacey L Manion
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1508184771
PECOS PAC ID: 0648406603
Enrollment ID: I20131121000370
Provider NameLinesse Md Vega
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1114105897
PECOS PAC ID: 6002047206
Enrollment ID: I20140402000550
Provider NameOlutayo Sogunro
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1477827525
PECOS PAC ID: 6901174812
Enrollment ID: I20170619001172
Provider NameDennis Barrios Ong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295269298
PECOS PAC ID: 4183992761
Enrollment ID: I20170623000179
Provider NameJoseph Peter
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1053343343
PECOS PAC ID: 8628398468
Enrollment ID: I20171016000521
Provider NameElisicia L Jiles
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518258433
PECOS PAC ID: 8224259403
Enrollment ID: I20180620003145
Provider NameJose Americo Mendoza
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1699118307
PECOS PAC ID: 4385911759
Enrollment ID: I20180713000280
Provider NameVivian Viera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477536191
PECOS PAC ID: 4981660024
Enrollment ID: I20180731002989
Provider NameJordan Deliman
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1548641566
PECOS PAC ID: 1557615333
Enrollment ID: I20181114000699
Provider NameVanessa Lynn Ortiz-avalos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518196351
PECOS PAC ID: 3476807108
Enrollment ID: I20181116000728

Reviews and Comments


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Amistad Medical Professionals
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Medicare: Not Enrolled in Medicare
Practice Location: 1200 N Bedell Ave, Del Rio, TX 78840
Phone: 830-774-2505    Fax: 830-774-2394
Gutierrez Md Pllc
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Phone: 830-775-1166    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.