Mr Justin M Tello, is a medicare enrolled "Chiropractor" provider in Land O' Lakes, Florida. His current practice location is
5420 Land O' Lakes Blvd Suite 105, Land O' Lakes, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 996-9800.
Mr Justin M Tello is licensed to practice in Florida (license number 12893) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770134132.
Healthcare Provider's Profile
| Full Name | Mr Justin M Tello |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 5420 Land O' Lakes Blvd Suite 105, Land O' Lakes, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770134132
- Provider Enumeration Date: 09/26/2019
- Last Update Date: 12/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 7810370707
- Enrollment ID: I20220810000107
Medical Identifiers
Medical identifiers for Mr Justin M Tello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770134132 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 12893 (Florida) | Primary |
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. Mr Justin M Tello allows following entities to bill medicare on his behalf.
| Provider Name | Frank Clinic Of Chiropractic Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407981871
PECOS PAC ID: 6608968342
Enrollment ID: O20070824000808 |
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| Provider Name | Shawn Hanson Dc, Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1366054561
PECOS PAC ID: 5890102651
Enrollment ID: O20210324000814 |
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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. Mr Justin M Tello 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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Mr Justin M Tello,
5420 Land O' Lakes Blvd Suite 105,
Land O' Lakes, FL 34639
Ph: (727) 365-7674 | Mr Justin M Tello,
5420 Land O' Lakes Blvd Suite 105,
Land O' Lakes, FL 34639
Ph: (813) 996-9800 |
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