Leticia A Poret Md Pa in San Antonio, TX - Medicare Internal Medicine

Leticia A Poret Md Pa is a medicare enrolled primary clinic (Internal Medicine) in San Antonio, Texas. The current practice location for Leticia A Poret Md Pa is 4522 Fredericksburg Rd, Suite A 14, San Antonio, Texas. For appointments, you can reach them via phone at (210) 733-3005. The mailing address for Leticia A Poret Md Pa is 12627 Stonehenge Dr, San Antonio, Texas and phone number is (210) 733-3005.

Leticia A Poret Md Pa is licensed to practice in Texas (license number H9289). The clinic also participates in the medicare program and its NPI number is 1114024478. 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) 733-3005.

Contact Information

	Leticia A Poret Md Pa
	4522 Fredericksburg Rd Suite A 14 San Antonio TX 78201-6521
	(210) 733-3005
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Leticia A Poret Md Pa
Speciality	Internal Medicine
Location	4522 Fredericksburg Rd, San Antonio, Texas
Authorized Official Name and Position	Leticia Ann Poret (PHYSICIAN)
Authorized Official Contact	2107333005
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Leticia A Poret Md Pa 12627 Stonehenge Dr San Antonio TX 78230-1941 Ph: (210) 733-3005	Leticia A Poret Md Pa 4522 Fredericksburg Rd Suite A 14 San Antonio TX 78201-6521 Ph: (210) 733-3005

NPI Details:

NPI Number	1114024478
Provider Enumeration Date	09/20/2006
Last Update Date	01/15/2008

Medicare PECOS Information:

Medicare PECOS PAC ID	9830282714
Medicare Enrollment ID	O20070908000149

Medical Identifiers

Medical identifiers for Leticia A Poret Md Pa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114024478	NPI	-	NPPES
0009QF	Other	TX	BC BS
00182U	Other	TX	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	H9289 (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. Leticia A Poret Md Pa acts as a billing entity for following providers:

Provider Name	Leticia A Poret
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1578763462 PECOS PAC ID: 2567555444 Enrollment ID: I20080201000291

Provider Name	Hetta H Atkins
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1881945830 PECOS PAC ID: 2961635743 Enrollment ID: I20140501000754

Reviews and Comments

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Leticia A Poret Md Pa - Medicare Primary Care in San Antonio, TX