Dr Johnson Diaz Dellosa, MD is a medicare enrolled "Family Medicine" physician in Alvarado, Texas. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Huguley Medical Associates, Inc and his current practice location is
515 East Highway 67, Alvarado, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 783-2318.
Dr Johnson Diaz Dellosa is licensed to practice in Texas (license number M3516) 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 1386696136.
Physician's Profile
| Full Name | Dr Johnson Diaz Dellosa |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 33 Years |
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| Location | 515 East Highway 67, Alvarado, 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:
- Dr Johnson Diaz Dellosa graduated from medical school in 1991
NPI Data:
- NPI Number: 1386696136
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 05/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880784529
- Enrollment ID: I20071218000171
Medical Identifiers
Medical identifiers for Dr Johnson Diaz Dellosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386696136 | NPI | - | NPPES |
| 8AS312 | Other | TX | BCBS |
| 1386696136 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | M3516 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Huguley Medical Associates, Inc | 2668562471 | 38 |
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 Johnson Diaz Dellosa allows following entities to bill medicare on his behalf.
| Entity Name | Huguley Medical Associates, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629290929
PECOS PAC ID: 2668562471
Enrollment ID: O20071217000800 |
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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 Johnson Diaz Dellosa 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 Johnson Diaz Dellosa, MD
Po Box 6278,
Fort Worth, TX 76115-0278
Ph: () - | Dr Johnson Diaz Dellosa, MD
515 East Highway 67,
Alvarado, TX 76009
Ph: (817) 783-2318 |
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