Rafael Abreu, MD - Medicare Family Practice in Hialeah, FL

Rafael Abreu, MD is a medicare enrolled "Family Medicine" physician in Hialeah, Florida. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Nova Medical Services Llc, Nova Hospitalist Group Llc and his current practice location is 1435 W 49th Pl Ste 500, Hialeah, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 392-0380.

Rafael Abreu is licensed to practice in Florida (license number ME109733) 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 1265769822.

Contact Information

Rafael Abreu, MD
1435 W 49th Pl Ste 500,
Hialeah, FL 33012-3158
(305) 392-0380
(305) 603-9683

Map and Direction




Physician's Profile

Full NameRafael Abreu
GenderMale
SpecialityFamily Practice
Experience35 Years
Location1435 W 49th Pl Ste 500, Hialeah, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rafael Abreu graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1265769822
  • Provider Enumeration Date: 11/03/2009
  • Last Update Date: 01/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2567638737
  • Enrollment ID: I20120110000698

Medical Identifiers

Medical identifiers for Rafael Abreu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265769822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME109733 (Florida)Primary
208M00000XHospitalist ME109733 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Complete Health Network IncMedley, FLHome health agency
Granny's Home Health Care IncMiami, FLHome health agency
Care-tech Home Health Services LlcDoral, FLHome health agency
Kindred HospiceMiami, FLHospice
Seasons Hospice & Palliative Care Of Southern FlorMiami, FLHospice
Vitas Healthcare Corporation Of FloridaMelbourne, FLHospice
Jackson Health SystemMiami, FLHospital
Larkin Community Hospital Palm Springs CampusHialeah, FLHospital
Westchester General HospitalMiami, FLHospital
Nspire Healthcare Miami LakesHialeah, FLNursing home
Hialeah Nursing And Rehabilitation CenterHialeah, FLNursing home
Hialeah Shores Nursing And Rehab CenterMiami, FLNursing home
West Gables Health Care CenterMiami, FLNursing home
Coral Gables Nursing And Rehabilitation CenterMiami, FLNursing home

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. Rafael Abreu allows following entities to bill medicare on his behalf.
Entity NameCogent Healthcare Of Pensacola Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346287182
PECOS PAC ID: 1153226766
Enrollment ID: O20031205000170
Entity NameInpatient Consultants Of Florida, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396795597
PECOS PAC ID: 4789614785
Enrollment ID: O20050819000018
Entity NameLtc Hospitalists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073747721
PECOS PAC ID: 3476606773
Enrollment ID: O20090804000747
Entity NameJmh Internal Medicine Specialist Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952679326
PECOS PAC ID: 5597928432
Enrollment ID: O20120514000120
Entity NameR Abreu Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215366133
PECOS PAC ID: 8224267604
Enrollment ID: O20140205000765
Entity NameFlorida Hospital Medicine Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508873183
PECOS PAC ID: 7810129640
Enrollment ID: O20140410000465
Entity NameQuality Medical Consultant Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003216391
PECOS PAC ID: 7517243447
Enrollment ID: O20170407001493
Entity NameComplete Care Management Services Aco Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780197152
PECOS PAC ID: 7012349285
Enrollment ID: O20191111000864
Entity NameNova Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952941346
PECOS PAC ID: 1759705148
Enrollment ID: O20200717001851
Entity NameAbreu & Sanchez Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962029231
PECOS PAC ID: 3577987247
Enrollment ID: O20200728002202
Entity NameNova Hospitalist Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174270904
PECOS PAC ID: 8426436742
Enrollment ID: O20220527000786

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. Rafael Abreu 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
Rafael Abreu, MD
1490 W 49th Pl Ste 204,
Hialeah, FL 33012-3149

Ph: (305) 392-0380
Rafael Abreu, MD
1435 W 49th Pl Ste 500,
Hialeah, FL 33012-3158

Ph: (305) 392-0380

Reviews and Comments


Family Medicine Doctors in Hialeah, FL

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Phone: 305-826-0660    

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).

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