Luke Nelson, - Medicare Internal Medicine in Guayama, PR

Luke Nelson, is a medicare enrolled "Internal Medicine" physician in Guayama, Puerto Rico. His current practice location is Num 80 Calle 3 Sur, Guayama, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 866-1212.

Luke Nelson is licensed to practice in Puerto Rico (license number 15593) 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 1023437126.

Contact Information

Luke Nelson,
Num 80 Calle 3 Sur,
Guayama, PR 00784
(787) 866-1212
(787) 866-3322

Map and Direction




Physician's Profile

Full NameLuke Nelson
GenderMale
SpecialityInternal Medicine
LocationNum 80 Calle 3 Sur, Guayama, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023437126
  • Provider Enumeration Date: 04/16/2014
  • Last Update Date: 05/19/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9638394976
  • Enrollment ID: I20140701000185

Medical Identifiers

Medical identifiers for Luke Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023437126NPI-NPPES
15593OtherPRPHYSICIAN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 15593 (Puerto Rico)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. Luke Nelson allows following entities to bill medicare on his behalf.
Entity NameSouthern Health Care Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780770917
PECOS PAC ID: 1153364765
Enrollment ID: O20050606000246

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. Luke Nelson 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
Luke Nelson,
Po Box 8071,
Caguas, PR 00726-8071

Ph: (646) 642-8021
Luke Nelson,
Num 80 Calle 3 Sur,
Guayama, PR 00784

Ph: (787) 866-1212

Reviews and Comments


Internal Medicine Doctors in Guayama, PR

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Phone: 787-866-3675    Fax: 787-866-1249
Mr. Jorge J Lopez Del Pozo, MD
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Medicare: Medicare Enrolled
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Phone: 787-866-1212    Fax: 787-866-1212
Dr. Juan German Miranda, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 92 Calle Duque, Guayama, PR 00784
Phone: 787-864-3731    Fax: 787-864-3731

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.