Dr Mario P Acosta Duarte, MD - Medicare Emergency Medicine in San Juan, PR

Dr Mario P Acosta Duarte, MD is a medicare enrolled "Emergency Medicine" physician in San Juan, Puerto Rico. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Pediatrix Medical Group Of Puerto Rico Psc and his current practice location is B31 Calle 4, Urb. Paseo Mayor, San Juan, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 748-1063.

Dr Mario P Acosta Duarte is licensed to practice in Puerto Rico (license number 5925) 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 1568416659.

Contact Information

Dr Mario P Acosta Duarte, MD
B31 Calle 4, Urb. Paseo Mayor,
San Juan, PR 00926
(787) 748-1063
Not Available

Map and Direction




Physician's Profile

Full NameDr Mario P Acosta Duarte
GenderMale
SpecialityEmergency Medicine
Experience47 Years
LocationB31 Calle 4, San Juan, Puerto Rico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mario P Acosta Duarte graduated from medical school in 1977
  NPI Data:
  • NPI Number: 1568416659
  • Provider Enumeration Date: 05/22/2006
  • Last Update Date: 05/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1850397654
  • Enrollment ID: I20061030000351

Medical Identifiers

Medical identifiers for Dr Mario P Acosta Duarte such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568416659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5925 (Puerto Rico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Presbyterian Community HospSan juan, PRHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pediatrix Medical Group Of Puerto Rico Psc06484960675

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 P Acosta Duarte allows following entities to bill medicare on his behalf.
Entity NameCentro Medico Del Turabo Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710107883
PECOS PAC ID: 9335051952
Enrollment ID: O20080212000105
Entity NamePediatrix Medical Group Of Puerto Rico Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255319703
PECOS PAC ID: 0648496067
Enrollment ID: O20140721001835
Entity NamePediatrix Caribbean Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528712692
PECOS PAC ID: 4486010428
Enrollment ID: O20230518000235

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 P Acosta Duarte 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 AddressPractice Location Address
Dr Mario P Acosta Duarte, MD
1935 Calle Julio Ruedas, Urb. Borinquen Gardens,
San Juan, PR 00926

Ph: (787) 590-5344
Dr Mario P Acosta Duarte, MD
B31 Calle 4, Urb. Paseo Mayor,
San Juan, PR 00926

Ph: (787) 748-1063

Reviews and Comments


Emergency Medicine Doctors in San Juan, PR

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Practice Location: 6 Calle Vereda, Monteverde Real, San Juan, PR 00926
Phone: 787-790-4322    Fax: 787-761-5829

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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