Mariola Alejandra Vazquez-martinez, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Philadelphia, Pennsylvania. Her current practice location is
245 N 15th St Fl 6, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 762-7916.
Mariola Alejandra Vazquez-martinez is licensed to practice in Puerto Rico (license number 21228) 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 1063891497.
Physician's Profile
Full Name | Mariola Alejandra Vazquez-martinez |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 245 N 15th St Fl 6, Philadelphia, Pennsylvania |
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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: 1063891497
- Provider Enumeration Date: 05/19/2015
- Last Update Date: 04/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 4385991439
- Enrollment ID: I20180814001594
Medical Identifiers
Medical identifiers for Mariola Alejandra Vazquez-martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063891497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD464476 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 21228 (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. Mariola Alejandra Vazquez-martinez allows following entities to bill medicare on her behalf.
Entity Name | Abington Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790738011 PECOS PAC ID: 3274437736 Enrollment ID: O20031208000487 |
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Entity Name | Drexel University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902900095 PECOS PAC ID: 5496664740 Enrollment ID: O20140729001682 |
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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. Mariola Alejandra Vazquez-martinez 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 |
Mariola Alejandra Vazquez-martinez, MD M26 Calle Ridgewood, Guaynabo, PR 00966-3136 Ph: () - | Mariola Alejandra Vazquez-martinez, MD 245 N 15th St Fl 6, Philadelphia, PA 19102-1101 Ph: (215) 762-7916 |
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