Mr Leo Gaston Stinnett Jr, MD is a medicare enrolled "Surgery" physician in Nogales, Arizona. He went to Baylor College Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Mariposa Community Health Center, Inc and his current practice location is
1209 W Target Range Rd, Nogales, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 287-4747.
Mr Leo Gaston Stinnett Jr is licensed to practice in Arizona (license number 27159) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306864145.
Physician's Profile
| Full Name | Mr Leo Gaston Stinnett Jr |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 34 Years |
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| Location | 1209 W Target Range Rd, Nogales, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Leo Gaston Stinnett Jr attended and graduated from Baylor College Of Medicine in 1990
NPI Data:
- NPI Number: 1306864145
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 05/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476502352
- Enrollment ID: I20050118000708
Medical Identifiers
Medical identifiers for Mr Leo Gaston Stinnett Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306864145 | NPI | - | NPPES |
| 454835 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | J0285 (Texas) | Secondary |
| 208600000X | Surgery | 27159 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mariposa Community Health Center, Inc | 8123926326 | 22 |
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. Mr Leo Gaston Stinnett Jr allows following entities to bill medicare on his behalf.
| Entity Name | Mariposa Community Health Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417985474
PECOS PAC ID: 8123926326
Enrollment ID: O20031226000065 |
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| Entity Name | Tucson Physician Group Holdings Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356726939
PECOS PAC ID: 0547560070
Enrollment ID: O20151204001261 |
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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. Mr Leo Gaston Stinnett 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 |
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Mr Leo Gaston Stinnett Jr, MD
825 N Grand Ave Ste 100,
Nogales, AZ 85621-1061
Ph: (520) 761-2133 | Mr Leo Gaston Stinnett Jr, MD
1209 W Target Range Rd,
Nogales, AZ 85621-2466
Ph: (520) 287-4747 |
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