Dr Mario J Fonseca, MD - Medicare Family Practice in South Miami, FL

Dr Mario J Fonseca, MD is a medicare enrolled "Family Medicine" physician in South Miami, Florida. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Family Practice. His current practice location is 7325 Sw 63rd Ave, Suite 201, South Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 669-9404.

Dr Mario J Fonseca is licensed to practice in Florida (license number 65287) 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 1124082003.

Contact Information

Dr Mario J Fonseca, MD
7325 Sw 63rd Ave, Suite 201,
South Miami, FL 33143-4811
(305) 669-9404
(305) 669-9660

Map and Direction




Physician's Profile

Full NameDr Mario J Fonseca
GenderMale
SpecialityFamily Practice
Experience43 Years
Location7325 Sw 63rd Ave, South Miami, Florida
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 J Fonseca graduated from medical school in 1981
  NPI Data:
  • NPI Number: 1124082003
  • Provider Enumeration Date: 04/17/2006
  • Last Update Date: 01/05/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9931006327
  • Enrollment ID: I20031215000488

Medical Identifiers

Medical identifiers for Dr Mario J Fonseca such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124082003NPI-NPPES
23840OtherFLBCBSF
374540600MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 65287 (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 J Fonseca allows following entities to bill medicare on his behalf.
Entity NameMario J Fonseca, Md, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811287667
PECOS PAC ID: 6406753805
Enrollment ID: O20110628000044

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 J Fonseca 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 J Fonseca, MD
6630 Sw 77th Ter,
South Miami, FL 33143-4634

Ph: (305) 669-9404
Dr Mario J Fonseca, MD
7325 Sw 63rd Ave, Suite 201,
South Miami, FL 33143-4811

Ph: (305) 669-9404

Reviews and Comments


Family Medicine Doctors in South Miami, FL

Matthew Aziz Faheim Hanna, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 7031 Sw 62nd Ave, South Miami, FL 33143
Phone: 305-284-7761    
Dr. Dorothy Justine Contiguglia-akcan, M.D./M.P.H.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6601 Sw 62nd Ave, South Miami, FL 33143
Phone: 786-466-6900    Fax: 786-466-6920
Piya Suryadevara, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6200 Sw 73rd St, South Miami, FL 33143
Phone: 786-662-4000    
Dr. Alonso Jose Martin Del Campo, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7171 Sw 62nd Ave Fl 3, South Miami, FL 33143
Phone: 305-740-6001    
Dr. Julio Gonzalez, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7000 Sw 62nd Ave Ste 600, South Miami, FL 33143
Phone: 305-830-0719    Fax: 877-482-6066
Dr. Tamelia D Lakraj-edwards, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 7031 Sw 62nd Ave, South Miami, FL 33143
Phone: 305-284-7761    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.