Dr Juan Carlos Cordero, MS, MA, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fort Stewart, Georgia. His current practice location is
1061 Harmon Ave, Fort Stewart, Georgia. You can reach out to his office (for appointments etc.) via phone at
(129) 435-7375.
Dr Juan Carlos Cordero is licensed to practice in Puerto Rico (license number 002740) 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 1831506476.
Healthcare Provider's Profile
| Full Name | Dr Juan Carlos Cordero |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1061 Harmon Ave, Fort Stewart, Georgia |
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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: 1831506476
- Provider Enumeration Date: 07/15/2014
- Last Update Date: 12/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567879190
- Enrollment ID: I20210329000412
Medical Identifiers
Medical identifiers for Dr Juan Carlos Cordero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831506476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 002740 (Puerto Rico) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2740 (Puerto Rico) | Secondary |
| 103TC0700X | Psychologist - Clinical | 002740 (Puerto Rico) | 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. Dr Juan Carlos Cordero allows following entities to bill medicare on his behalf.
| Entity Name | Us Health Dept Of Health & Human Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972694602
PECOS PAC ID: 9638081623
Enrollment ID: O20031106000399 |
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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. Dr Juan Carlos Cordero 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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Dr Juan Carlos Cordero, MS, MA, PSYD
1061 Harmon Ave,
Fort Stewart, GA 31314-5641
Ph: (912) 435-7375 | Dr Juan Carlos Cordero, MS, MA, PSYD
1061 Harmon Ave,
Fort Stewart, GA 31314-5641
Ph: (129) 435-7375 |
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