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

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 NameLuis A Tellez
GenderMale
SpecialityFamily Medicine
Location3371 Kemp Rd, Beavercreek, Ohio
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1174557169NPI-NPPES
2218068MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily 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 NameSamaritan Behavioral Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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. 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    
Heather Maria Jackson, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2322 Lakeview Dr, Beavercreek, OH 45431
Phone: 937-426-0106    Fax: 937-426-7153

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.