Dr Juan Guillermo Vaillant, is a medicare enrolled "Dermatology" physician in Old Bridge, New Jersey. His current practice location is
40 Throckmorton Ln, Old Bridge, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 679-0222.
Dr Juan Guillermo Vaillant is licensed to practice in New York (license number 134403) 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 1063509651.
Physician's Profile
| Full Name | Dr Juan Guillermo Vaillant |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 40 Throckmorton Ln, Old Bridge, New Jersey |
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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: 1063509651
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1759369226
- Enrollment ID: I20120220000480
Medical Identifiers
Medical identifiers for Dr Juan Guillermo Vaillant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063509651 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 134403 (New York) | Primary |
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 Guillermo Vaillant 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 |
Dr Juan Guillermo Vaillant, 123 Hampton Ave, Brooklyn, NY 11235-4132 Ph: (718) 891-9373 | Dr Juan Guillermo Vaillant, 40 Throckmorton Ln, Old Bridge, NJ 08857-2520 Ph: (732) 679-0222 |
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