Legent Physician Group Pllc - Medicare Primary Care in San Antonio, TX

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Legent Physician Group Pllc is a medicare enrolled primary clinic (Orthopaedic Surgery) in San Antonio, Texas. The current practice location for Legent Physician Group Pllc is 5330 N Loop 1604 W Ste 102, San Antonio, Texas. For appointments, you can reach them via phone at (210) 819-4562. The mailing address for Legent Physician Group Pllc is 2722 W Bitters Rd Ste 125, San Antonio, Texas and phone number is (726) 800-6084.

Legent Physician Group Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1265142038. 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 (210) 819-4562.

Contact Information

Legent Physician Group Pllc
5330 N Loop 1604 W Ste 102
San Antonio
TX 78249-4384
(210) 819-4562
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameLegent Physician Group Pllc
SpecialityOrthopaedic Surgery
Location5330 N Loop 1604 W Ste 102, San Antonio, Texas
Authorized Official Name and PositionDaniel Brazell (CHIEF OPERATING OFFICER)
Authorized Official Contact3103396824
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Legent Physician Group Pllc
2722 W Bitters Rd Ste 125
San Antonio
TX 78248-1235

Ph: (726) 800-6084		Legent Physician Group Pllc
5330 N Loop 1604 W Ste 102
San Antonio
TX 78249-4384

Ph: (210) 819-4562

NPI Details:

NPI Number1265142038
Provider Enumeration Date12/01/2022
Last Update Date12/22/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5294104949
Medicare Enrollment IDO20221220000543

Medical Identifiers

Medical identifiers for Legent Physician Group Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265142038NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RS0010XInternal Medicine - Sports Medicine (* (Not Available))Secondary
207T00000XNeurological Surgery (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Primary
225100000XPhysical Therapist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Legent Physician Group Pllc acts as a billing entity for following providers:
Provider NameDavid Scott Biediger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275679441
PECOS PAC ID: 1658390794
Enrollment ID: I20051117000353
Provider NameRebecca Stachniak
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1669485025
PECOS PAC ID: 9830291277
Enrollment ID: I20070305000100
Provider NameJordan J Jude
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1255533451
PECOS PAC ID: 8426157538
Enrollment ID: I20080822000382
Provider NameRobert Gordon Johnson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1689675142
PECOS PAC ID: 0042229833
Enrollment ID: I20100427000243
Provider NameBrian N Kanz
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1184815367
PECOS PAC ID: 5294981742
Enrollment ID: I20120815000828
Provider NameBrandon Phillip Bell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154932630
PECOS PAC ID: 8820405723
Enrollment ID: I20210319001425
Provider NameRosalino Evier Lara
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427833292
PECOS PAC ID: 2163886011
Enrollment ID: I20230912001294
Provider NameChavernay Perron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538851548
PECOS PAC ID: 6709235203
Enrollment ID: I20231208002927
Provider NameJustin Anthony Riojas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942762232
PECOS PAC ID: 2163881509
Enrollment ID: I20240216000906

Reviews and Comments


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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.