Mr Jose Antonio Bardelas Jr, MD is a medicare enrolled "Allergy & Immunology" physician in High Point, North Carolina. His current practice location is
100 Westwood Avenue, High Point, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 883-1393.
Mr Jose Antonio Bardelas Jr is licensed to practice in North Carolina (license number 21622) 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 1265490841.
Physician's Profile
| Full Name | Mr Jose Antonio Bardelas Jr |
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| Gender | Male |
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| Speciality | Allergy & Immunology |
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| Location | 100 Westwood Avenue, High Point, North Carolina |
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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: 1265490841
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 08/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 8123925187
- Enrollment ID: I20100513000731
Medical Identifiers
Medical identifiers for Mr Jose Antonio Bardelas Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265490841 | NPI | - | NPPES |
| 0200001 | Other | | UNITED HEALTHCARE |
| 8913057 | Medicaid | NC | |
| 13057 | Other | NC | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 21622 (North Carolina) | Secondary |
| 207K00000X | Allergy & Immunology | 21622 (North Carolina) | Primary |
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. Mr Jose Antonio Bardelas Jr 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 |
Mr Jose Antonio Bardelas Jr, MD 100 Westwood Avenue, High Point, NC 27262-4320 Ph: (336) 883-1393 | Mr Jose Antonio Bardelas Jr, MD 100 Westwood Avenue, High Point, NC 27262-4320 Ph: (336) 883-1393 |
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