Michael Pequeno, AG-ACNP is a medicare enrolled "Nurse Practitioner" physician in San Antonio, Texas. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Methodist Physician Practices Pllc and his current practice location is
1200 Brooklyn Ave, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 281-9800.
Michael Pequeno is licensed to practice in Texas (license number AP136257) 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 1467944256.
Physician's Profile
| Full Name | Michael Pequeno |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 1200 Brooklyn Ave, San Antonio, Texas |
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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:
- Michael Pequeno graduated from medical school in 2017
NPI Data:
- NPI Number: 1467944256
- Provider Enumeration Date: 06/06/2018
- Last Update Date: 02/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749690360
- Enrollment ID: I20201110000306
Medical Identifiers
Medical identifiers for Michael Pequeno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467944256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RN0300X | Internal Medicine - Nephrology | AP136257 (Texas) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | AP136257 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | AP136257 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Methodist Physician Practices Pllc | 8022171974 | 148 |
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. Michael Pequeno allows following entities to bill medicare on his behalf.
| Entity Name | Methodist Physician Practices Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922252717
PECOS PAC ID: 8022171974
Enrollment ID: O20090121000165 |
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| Entity Name | Rivercity Cardiovascular Of San Antonio Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578985610
PECOS PAC ID: 0042433807
Enrollment ID: O20140523000115 |
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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. Michael Pequeno 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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Michael Pequeno, AG-ACNP
1200 Brooklyn Ave,
San Antonio, TX 78212-4803
Ph: (210) 281-9800 | Michael Pequeno, AG-ACNP
1200 Brooklyn Ave,
San Antonio, TX 78212-4803
Ph: (210) 281-9800 |
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