Dr Leopoldo Enrique Valdivia, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Menifee, California. His current practice location is
29826 Haun Rd Ste 209, Menifee, California. You can reach out to his office (for appointments etc.) via phone at
(951) 672-3331.
Dr Leopoldo Enrique Valdivia is licensed to practice in California (license number 20A7040) 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 1457393100.
Physician's Profile
| Full Name | Dr Leopoldo Enrique Valdivia |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 29826 Haun Rd Ste 209, Menifee, California |
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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: 1457393100
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 09/11/2017
Medicare PECOS Information:
- PECOS PAC ID: 7719923820
- Enrollment ID: I20050629000413
Medical Identifiers
Medical identifiers for Dr Leopoldo Enrique Valdivia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457393100 | NPI | - | NPPES |
| 00AX70400 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | 20A7040 (California) | 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 Leopoldo Enrique Valdivia allows following entities to bill medicare on his behalf.
| Entity Name | Family Health Centers Of San Diego Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
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| Entity Name | Magella Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376640086 PECOS PAC ID: 7214827591 Enrollment ID: O20040318001666 |
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| Entity Name | Obhg California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826 |
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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 Leopoldo Enrique Valdivia 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 Leopoldo Enrique Valdivia, DO 29826 Haun Rd Ste 209, Menifee, CA 92586-6547 Ph: (951) 672-3331 | Dr Leopoldo Enrique Valdivia, DO 29826 Haun Rd Ste 209, Menifee, CA 92586-6547 Ph: (951) 672-3331 |
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