Jose Adolfo Gonzalez Villalba, MD is a medicare enrolled "Internal Medicine" physician in Union, South Carolina. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Inpatient Progressive Health Of America, Pllc and his current practice location is
322 W South St, Union, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 429-8029.
Jose Adolfo Gonzalez Villalba is licensed to practice in South Carolina (license number 86507) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164875902.
Physician's Profile
| Full Name | Jose Adolfo Gonzalez Villalba |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 12 Years |
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| Location | 322 W South St, Union, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jose Adolfo Gonzalez Villalba graduated from medical school in 2012
NPI Data:
- NPI Number: 1164875902
- Provider Enumeration Date: 07/18/2016
- Last Update Date: 09/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 4284067992
- Enrollment ID: I20230510000042
Medical Identifiers
Medical identifiers for Jose Adolfo Gonzalez Villalba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164875902 | NPI | - | NPPES |
| 865077 | Medicaid | SC | |
| SCL150H888 | Other | SC | MEDICARE PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | D0091283 (Maryland) | Secondary |
| 208M00000X | Hospitalist | DR.0062854 (Colorado) | Secondary |
| 207R00000X | Internal Medicine | 86507 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Inpatient Progressive Health Of America, Pllc | 5698072320 | 64 |
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. Jose Adolfo Gonzalez Villalba allows following entities to bill medicare on his behalf.
| Entity Name | Inpatient Progressive Health Of America, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417321076
PECOS PAC ID: 5698072320
Enrollment ID: O20160324000318 |
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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. Jose Adolfo Gonzalez Villalba 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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Jose Adolfo Gonzalez Villalba, MD
Po Box 2168,
Spartanburg, SC 29304-2168
Ph: (864) 560-4304 | Jose Adolfo Gonzalez Villalba, MD
322 W South St,
Union, SC 29379-2839
Ph: (864) 429-8029 |
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