Dr Manuel Santos Villareal, MD is a medicare enrolled "Internal Medicine - Allergy & Immunology" physician in Lakeside Park, Kentucky. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice University Of Cincinnati Physicians Company Llc, Head And Neck Surgery Associates, Psc, Head And Neck Surgery Associates, Psc and his current practice location is
2300 Chamber Center Dr Ste 102, Lakeside Park, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 781-4900.
Dr Manuel Santos Villareal is licensed to practice in Kentucky (license number 30879) 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 1255389409.
Physician's Profile
| Full Name | Dr Manuel Santos Villareal |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 40 Years |
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| Location | 2300 Chamber Center Dr Ste 102, Lakeside Park, Kentucky |
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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 Manuel Santos Villareal graduated from medical school in 1984
NPI Data:
- NPI Number: 1255389409
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 04/30/2018
Medicare PECOS Information:
- PECOS PAC ID: 0547289480
- Enrollment ID: I20051121000243
Medical Identifiers
Medical identifiers for Dr Manuel Santos Villareal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255389409 | NPI | - | NPPES |
| 000000001005 | Other | KY | CHA INSURANCE |
| 000000033648 | Other | KY | ANTHEM |
| 2064564 | Medicaid | OH | |
| 610715494 | Other | KY | OTHER INSURANCE COMPANIES |
| 200518220 | Medicaid | IN | |
| 138180523662 | Other | KY | HUMANA INS CO |
| 0220092 | Other | KY | UNITED HEALTH CARE |
| 64308794 | Medicaid | KY | |
| 650439 | Other | KY | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RA0201X | Internal Medicine - Allergy & Immunology | 30879 (Kentucky) | Primary |
| 207K00000X | Allergy & Immunology | 35070669 (Ohio) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | 30879 (Kentucky) | Secondary |
| 207RA0201X | Internal Medicine - Allergy & Immunology | 35070669 (Ohio) | Secondary |
| 207RA0201X | Internal Medicine - Allergy & Immunology | 35 070669 (Ohio) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 35070669 (Ohio) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Cincinnati Physicians Company Llc | 2264344480 | 1339 |
| Head And Neck Surgery Associates, Psc | 4183662158 | 22 |
| Head And Neck Surgery Associates, Psc | 4183662158 | 22 |
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 Manuel Santos Villareal allows following entities to bill medicare on his behalf.
| Entity Name | University Of Cincinnati Physicians Company Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801840434
PECOS PAC ID: 2264344480
Enrollment ID: O20031105000123 |
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| Entity Name | Head And Neck Surgery Associates, Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760569545
PECOS PAC ID: 4183662158
Enrollment ID: O20170821001760 |
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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 Manuel Santos Villareal 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 Manuel Santos Villareal, MD
2830 Victory Pkwy,
Cincinnati, OH 45206-1785
Ph: (513) 585-5504 | Dr Manuel Santos Villareal, MD
2300 Chamber Center Dr Ste 102,
Lakeside Park, KY 41017-1686
Ph: (859) 781-4900 |
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