Dr Luis Antonio Moreno, MD is a medicare enrolled "General Practice" physician in Edgewater, Florida. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 1993 and has 33 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Island Doctors Intrastate Llc and his current practice location is
2984 S Ridgewood Ave Ste 1, Edgewater, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 428-4640.
Dr Luis Antonio Moreno is licensed to practice in Florida (license number ME88233) 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 1538372958.
Physician's Profile
| Full Name | Dr Luis Antonio Moreno |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 33 Years |
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| Location | 2984 S Ridgewood Ave Ste 1, Edgewater, Florida |
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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 Luis Antonio Moreno attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 1993
NPI Data:
- NPI Number: 1538372958
- Provider Enumeration Date: 05/08/2007
- Last Update Date: 11/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507267473
- Enrollment ID: I20210629003058
Medical Identifiers
Medical identifiers for Dr Luis Antonio Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538372958 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | ME88233 (Florida) | Primary |
| 171000000X | Military Health Care Provider | ME 88233 (Florida) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Island Doctors Intrastate Llc | 5395161186 | 74 |
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 Luis Antonio Moreno allows following entities to bill medicare on his behalf.
| Entity Name | Roy H Hinman MD PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649383845
PECOS PAC ID: 3173584174
Enrollment ID: O20041022000798 |
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| Entity Name | Island Doctors Intrastate LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568083889
PECOS PAC ID: 5395161186
Enrollment ID: O20200811001733 |
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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 Luis Antonio Moreno 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 Luis Antonio Moreno, MD
845 Crestwood Ave,
Titusville, FL 32796-2265
Ph: (321) 867-3827 | Dr Luis Antonio Moreno, MD
2984 S Ridgewood Ave Ste 1,
Edgewater, FL 32141-7515
Ph: (386) 428-4640 |
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