Dr Mario A Santiago, MD in Orlando, FL - Medicare General Practice

Dr Mario A Santiago, MD is a medicare enrolled "General Practice" physician in Orlando, Florida. His current practice location is 1303 S Semoran Blvd, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 534-0076.

Dr Mario A Santiago is licensed to practice in Florida (license number ACN648) 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 1215998976.

Contact Information

	Dr Mario A Santiago, MD
	1303 S Semoran Blvd, Orlando, FL 32807-2915
	(305) 534-0076
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mario A Santiago
Gender	Male
Speciality	General Practice
Location	1303 S Semoran Blvd, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215998976
Provider Enumeration Date: 03/31/2006
Last Update Date: 11/16/2022

Medicare PECOS Information:

PECOS PAC ID: 4587684832
Enrollment ID: I20151218001780

Medical Identifiers

Medical identifiers for Dr Mario A Santiago such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215998976	NPI	-	NPPES
N0716	Other	FL	MEDICARE
101875500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	14652 (Puerto Rico)	Secondary
208D00000X	General Practice	ACN648 (Florida)	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 Mario A Santiago allows following entities to bill medicare on his behalf.

Entity Name	Rodolfo Dumenigo Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932150919 PECOS PAC ID: 8325030737 Enrollment ID: O20040402000858

Entity Name	Miami Beach Medical Consultants, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891032819 PECOS PAC ID: 2365807799 Enrollment ID: O20230508001323

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 Mario A Santiago 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 Mario A Santiago, MD 1400 Nw 107th Ave Ste 500, Sweetwater, FL 33172-2746 Ph: (305) 534-0076	Dr Mario A Santiago, MD 1303 S Semoran Blvd, Orlando, FL 32807-2915 Ph: (305) 534-0076

Reviews and Comments

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Dr Mario A Santiago, MD - Medicare General Practice in Orlando, FL