Luis A Tellez, MD in Beavercreek, OH - Medicare Family Medicine

Luis A Tellez, MD is a medicare enrolled "Family Medicine" physician in Beavercreek, Ohio. His current practice location is 3371 Kemp Rd, Beavercreek, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 320-3500.

Luis A Tellez is licensed to practice in Ohio (license number 35-07-3444T) 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 1174557169.

Contact Information

	Luis A Tellez, MD
	3371 Kemp Rd, Beavercreek, OH 45431-2514
	(937) 320-3500
	Not Available

Map and Direction

Physician's Profile

Full Name	Luis A Tellez
Gender	Male
Speciality	Family Medicine
Location	3371 Kemp Rd, Beavercreek, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174557169
Provider Enumeration Date: 07/10/2006
Last Update Date: 10/08/2020

Medicare PECOS Information:

PECOS PAC ID: 9436142569
Enrollment ID: I20040406000037

Medical Identifiers

Medical identifiers for Luis A Tellez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174557169	NPI	-	NPPES
2218068	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35-07-3444T (Ohio)	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. Luis A Tellez allows following entities to bill medicare on his behalf.

Entity Name	Samaritan Behavioral Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205888641 PECOS PAC ID: 0244148625 Enrollment ID: O20101007000860

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. Luis A Tellez 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
Luis A Tellez, MD 26700 Brookpark Road Ext # 1, North Olmsted, OH 44070-3124 Ph: (440) 716-0800	Luis A Tellez, MD 3371 Kemp Rd, Beavercreek, OH 45431-2514 Ph: (937) 320-3500

Reviews and Comments

Family Medicine Doctors in Beavercreek, OH

Nikhil Tej Kurapati, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200
Dr. Maureen Kennedy Perez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1425 N Fairfield Rd., Ste 110, Beavercreek, OH 45432 Phone: 937-426-0106 Fax: 937-426-7153
Theresia Gordnier, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200
Kevin A Carter, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2633 Commons Blvd Ste 110, Beavercreek, OH 45431 Phone: 937-705-6747 Fax: 937-705-6713
Dr. Kate Grayson Meizlish, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431 Phone: 937-558-3900 Fax: 937-558-3999
Dr. Gordon S Walbroehl, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4172 Indian Ripple Rd, Ste. A, Beavercreek, OH 45440 Phone: 937-431-3779 Fax: 937-431-3776
Dr. Harminder Grewal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200

Luis A Tellez, MD - Medicare Family Medicine in Beavercreek, OH