Dr Pilar Delgado, MD - Medicare Pediatrics in Hialeah, FL

Dr Pilar Delgado, MD is a medicare enrolled "Pediatrics" physician in Hialeah, Florida. Her current practice location is 5590 W 20th Ave, Suite 100, Hialeah, Florida. You can reach out to her office (for appointments etc.) via phone at (305) 828-3997.

Dr Pilar Delgado is licensed to practice in Florida (license number ME107189) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760702252.

Contact Information

Dr Pilar Delgado, MD
5590 W 20th Ave, Suite 100,
Hialeah, FL 33016-7070
(305) 828-3997
Not Available

Map and Direction




Physician's Profile

Full NameDr Pilar Delgado
GenderFemale
SpecialityPediatrics
Location5590 W 20th Ave, Hialeah, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760702252
  • Provider Enumeration Date: 06/07/2010
  • Last Update Date: 11/19/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3678827243
  • Enrollment ID: I20181117000110

Medical Identifiers

Medical identifiers for Dr Pilar Delgado such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760702252NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics ME107189 (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 Pilar Delgado allows following entities to bill medicare on her behalf.
Entity NameGuidewell Sanitas I, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396124046
PECOS PAC ID: 9537447107
Enrollment ID: O20161102001073

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 Pilar Delgado 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 Pilar Delgado, MD
19084 Ne 29th Ave, Suite 101,
Aventura, FL 33180

Ph: (305) 932-5533
Dr Pilar Delgado, MD
5590 W 20th Ave, Suite 100,
Hialeah, FL 33016-7070

Ph: (305) 828-3997

Reviews and Comments


Pediatrics Doctors in Hialeah, FL

Oscar J Benavides, MD
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Phone: 305-777-9190    Fax: 305-779-0720
Maria Elena Ramon-coton, M.D.
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Practice Location: 7000 W 12th Ave, Suite 10-11, Hialeah, FL 33014
Phone: 305-827-9300    Fax: 305-827-3343
Sandra Y Mitjans, MD
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Practice Location: 4305 E 8th Ave Ste E, Hialeah, FL 33013
Phone: 305-769-5601    Fax: 305-769-0473
Dr. Jorge L Alsina, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 4999 W 8th Ave, Suite 26, Hialeah, FL 33012
Phone: 305-556-4447    Fax: 305-556-6290
Dr. Mariza Souza Petrick, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 440 W 49th St, Hialeah, FL 33012
Phone: 305-828-5700    Fax: 305-461-5911
Dr. Isabel Cristina Gomez, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1840 W 49th St, Suite # 517, Hialeah, FL 33012
Phone: 305-894-1164    Fax: 786-360-3867
Marlen Maria Rodriguez, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1193 W 49th St, Hialeah, FL 33012
Phone: 305-777-9190    Fax: 305-779-0729

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.