Dr Nelson Jesus Spinetti, MD - Medicare Pediatrics in Edinburg, TX

Dr Nelson Jesus Spinetti, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Edinburg, Texas. His current practice location is 2707 Cornerstone Blvd, Edinburg, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 682-2244.

Dr Nelson Jesus Spinetti is licensed to practice in Texas (license number L8516) 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 1578639340.

Contact Information

Dr Nelson Jesus Spinetti, MD
2707 Cornerstone Blvd,
Edinburg, TX 78539-8464
(956) 682-2244
(956) 682-5544

Map and Direction




Physician's Profile

Full NameDr Nelson Jesus Spinetti
GenderMale
SpecialityPediatrics - Pediatric Gastroenterology
Location2707 Cornerstone Blvd, Edinburg, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578639340
  • Provider Enumeration Date: 11/25/2006
  • Last Update Date: 03/31/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3375505969
  • Enrollment ID: I20041027000088

Medical Identifiers

Medical identifiers for Dr Nelson Jesus Spinetti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578639340NPI-NPPES
165172102MedicaidTX
192121501MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0206XPediatrics - Pediatric Gastroenterology L8516 (Texas)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 Nelson Jesus Spinetti allows following entities to bill medicare on his behalf.
Entity NameEndoscopy Center At Ridge Plaza Lp
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1346288032
PECOS PAC ID: 3678486537
Enrollment ID: O20031107000373
Entity NameMcallen Gastroenterology Clinic Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356433379
PECOS PAC ID: 9739281783
Enrollment ID: O20070509000709

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 Nelson Jesus Spinetti 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 Nelson Jesus Spinetti, MD
Po Box 3083,
Mcallen, TX 78502-3083

Ph: (956) 682-2244
Dr Nelson Jesus Spinetti, MD
2707 Cornerstone Blvd,
Edinburg, TX 78539-8464

Ph: (956) 682-2244

Reviews and Comments


Pediatrics Doctors in Edinburg, TX

Dr. Jeremy L. Gibson, M.D.
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Phone: 956-296-1960    Fax: 956-296-2855
Muhammad Amar Khan, MD
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Dr. Roberto A Ayres, M.D.
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Corazon Gladys White Ajero, MD
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William John Norberg Jr., M.D
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Practice Location: 1102 W Trenton Rd, Picu Intensivist, Edinburg, TX 78539
Phone: 956-388-6000    
Dr. Martin Garza, M.D.
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Medicare: Medicare Enrolled
Practice Location: 3521 W Freddy Gonzalez Dr, Suite B, Edinburg, TX 78539
Phone: 956-287-2100    Fax: 956-287-2111

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.