Dr Pablo R Castro, MD is a medicare enrolled "General Practice" physician in Lodi, California. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Adventist Health Physicians Network and his current practice location is
1901 W Kettleman Ln, Suite 200, Lodi, California. You can reach out to his office (for appointments etc.) via phone at
(209) 334-8540.
Dr Pablo R Castro is licensed to practice in Puerto Rico (license number 12389) 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 1538422316.
Physician's Profile
| Full Name | Dr Pablo R Castro |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 10 Years |
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| Location | 1901 W Kettleman Ln, Lodi, California |
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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 Pablo R Castro graduated from medical school in 2014
NPI Data:
- NPI Number: 1538422316
- Provider Enumeration Date: 06/18/2012
- Last Update Date: 12/30/2016
Medicare PECOS Information:
- PECOS PAC ID: 5799906178
- Enrollment ID: I20141028002964
Medical Identifiers
Medical identifiers for Dr Pablo R Castro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538422316 | NPI | - | NPPES |
| 12389 | Other | PR | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 12389 (Puerto Rico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Adventist Health Physicians Network | 3274580972 | 499 |
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 Pablo R Castro allows following entities to bill medicare on his behalf.
| Entity Name | Adventist Health Physicians Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063718583
PECOS PAC ID: 3274580972
Enrollment ID: O20050407000633 |
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| Entity Name | Lodi Memorial Hospital Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861649352
PECOS PAC ID: 7618880717
Enrollment ID: O20050517000577 |
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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 Pablo R Castro 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 Pablo R Castro, MD
Po Box 241011,
Lodi, CA 95241-9511
Ph: (209) 339-7435 | Dr Pablo R Castro, MD
1901 W Kettleman Ln, Suite 200,
Lodi, CA 95242-4337
Ph: (209) 334-8540 |
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