Dr Heidi Joy Duarte, MD - Medicare Pediatrics in Edinburg, TX

Dr Heidi Joy Duarte, MD is a medicare enrolled "Pediatrics" physician in Edinburg, Texas. Her current practice location is 1102 W Trenton Rd, Edinburg, Texas. You can reach out to her office (for appointments etc.) via phone at (956) 388-6800.

Dr Heidi Joy Duarte is licensed to practice in Texas (license number U8319) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700413549.

Contact Information

Dr Heidi Joy Duarte, MD
1102 W Trenton Rd,
Edinburg, TX 78539-9105
(956) 388-6800
Not Available

Map and Direction




Physician's Profile

Full NameDr Heidi Joy Duarte
GenderFemale
SpecialityPediatrics
Location1102 W Trenton Rd, Edinburg, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700413549
  • Provider Enumeration Date: 03/23/2020
  • Last Update Date: 05/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749623767
  • Enrollment ID: I20240207000678

Medical Identifiers

Medical identifiers for Dr Heidi Joy Duarte such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700413549NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 11545 (ZZ)Secondary
208M00000XHospitalist U8319 (Texas)Secondary
208000000XPediatrics U8319 (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. Dr Heidi Joy Duarte allows following entities to bill medicare on her behalf.
Entity NameMcallen Hospitalist Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356361976
PECOS PAC ID: 9830113836
Enrollment ID: O20060117001076

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 Heidi Joy Duarte 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 AddressPractice Location Address
Dr Heidi Joy Duarte, MD
Po Box 1011,
Mcallen, TX 78505-1011

Ph: (956) 388-6800
Dr Heidi Joy Duarte, MD
1102 W Trenton Rd,
Edinburg, TX 78539-9105

Ph: (956) 388-6800

Reviews and Comments


Pediatrics Doctors in Edinburg, TX

Dr. Jeremy L. Gibson, M.D.
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Phone: 956-296-1960    Fax: 956-296-2855
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Phone: 956-362-8677    Fax: 956-362-7253
Dr. Roberto A Ayres, M.D.
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Phone: 956-362-8275    Fax: 956-362-8281
Corazon Gladys White Ajero, MD
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Practice Location: 316 Conquest Blvd, Suite 300, Edinburg, TX 78539
Phone: 956-383-7779    Fax: 956-383-3315
William John Norberg Jr., M.D
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Medicare: Not Enrolled in Medicare
Practice Location: 1102 W Trenton Rd, Picu Intensivist, Edinburg, TX 78539
Phone: 956-388-6000    
Dr. Martin Garza, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3521 W Freddy Gonzalez Dr, Suite B, Edinburg, TX 78539
Phone: 956-287-2100    Fax: 956-287-2111

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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