Felino Canendo Oballo, MD is a medicare enrolled "Surgery" physician in Gonzales, Texas. His current practice location is
1110 N Sarah Dewitt Dr, Gonzales, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 672-7581.
Felino Canendo Oballo is licensed to practice in Texas (license number F8596) 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 1629136130.
Physician's Profile
Full Name | Felino Canendo Oballo |
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Gender | Male |
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Speciality | Surgery |
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Location | 1110 N Sarah Dewitt Dr, Gonzales, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629136130
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 12/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 4789747916
- Enrollment ID: I20090113000893
Medical Identifiers
Medical identifiers for Felino Canendo Oballo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629136130 | NPI | - | NPPES |
00MC06 | Other | TX | MC |
8L5471 | Other | TX | MC PTAN |
114639101 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | F8596 (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. Felino Canendo Oballo allows following entities to bill medicare on his behalf.
Entity Name | Keith R. Johnson,m.d., P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962640052 PECOS PAC ID: 2365509528 Enrollment ID: O20090316000517 |
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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. Felino Canendo Oballo 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 |
Felino Canendo Oballo, MD 9901 Valderrama Dr, Austin, TX 78717-3847 Ph: (830) 672-7581 | Felino Canendo Oballo, MD 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 Ph: (830) 672-7581 |
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