Mr Manrique Fuentes Jr, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Eagle Pass, Texas. His current practice location is
2525 N Veterans Blvd, Eagle Pass, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 773-6963.
Mr Manrique Fuentes Jr is licensed to practice in Texas (license number DT81855) 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 1720364060.
Healthcare Provider's Profile
| Full Name | Mr Manrique Fuentes Jr |
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| Gender | Male |
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| Speciality | Dietitian, Registered |
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| Location | 2525 N Veterans Blvd, Eagle Pass, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720364060
- Provider Enumeration Date: 11/01/2011
- Last Update Date: 11/08/2018
Medicare PECOS Information:
- PECOS PAC ID: 6406093988
- Enrollment ID: I20130501000389
Medical Identifiers
Medical identifiers for Mr Manrique Fuentes Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720364060 | NPI | - | NPPES |
| DT81855 | Other | TX | TX STATE BOARD OF EXAMINERS OF DIETITIANS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | DT81855 (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. 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 Manrique Fuentes Jr allows following entities to bill medicare on his behalf.
| Provider Name | Maverick County Hospital District |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1548275126 PECOS PAC ID: 2466369061 Enrollment ID: O20051201000817 |
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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 Manrique Fuentes Jr 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 |
Mr Manrique Fuentes Jr, RD, LD 3406 Bob Rogers Dr Ste 120, Eagle Pass, TX 78852-5942 Ph: (830) 757-4900 | Mr Manrique Fuentes Jr, RD, LD 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 Ph: (830) 773-6963 |
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