Marlie Rivera Cantillo, in Round Rock, TX - Medicare Nurse Practitioner

Marlie Rivera Cantillo, is a medicare enrolled "Nurse Practitioner - Family" in Round Rock, Texas. Her current practice location is 3926 La Contenta Ln, Round Rock, Texas. You can reach out to her office (for appointments etc.) via phone at (585) 645-8749.

Marlie Rivera Cantillo is licensed to practice in Texas (license number 1076095) 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 1598589996.

Contact Information

	Marlie Rivera Cantillo,
	3926 La Contenta Ln, Round Rock, TX 78665-2937
	(585) 645-8749
	Not Available

Map and Direction

Provider's Profile

Full Name	Marlie Rivera Cantillo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3926 La Contenta Ln, Round Rock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598589996
Provider Enumeration Date: 11/12/2024
Last Update Date: 02/24/2025

Medicare PECOS Information:

PECOS PAC ID: 3072043025
Enrollment ID: I20250206001736

Medical Identifiers

Medical identifiers for Marlie Rivera Cantillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598589996	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WH1000X	Registered Nurse - Hospice	1076095 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	1076095 (Texas)	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. Marlie Rivera Cantillo allows following entities to bill medicare on her behalf.

Entity Name	Ministering Physicians, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619987252 PECOS PAC ID: 2365450202 Enrollment ID: O20060404000119

Entity Name	Wholistic Wound Care & Wellness Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851917637 PECOS PAC ID: 4880126473 Enrollment ID: O20241021003525

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. Marlie Rivera Cantillo 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
Marlie Rivera Cantillo, 3926 La Contenta Ln, Round Rock, TX 78665-2937 Ph: (585) 645-8749	Marlie Rivera Cantillo, 3926 La Contenta Ln, Round Rock, TX 78665-2937 Ph: (585) 645-8749

Reviews and Comments

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Cheryl Bush, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 N A W Grimes Blvd Ste N103, Round Rock, TX 78665 Phone: 877-800-5722 Fax: 512-218-1249
Margaret O Egbonim, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4309 Greatview Dr, Round Rock, TX 78665 Phone: 803-460-2115
Deepa Gaba, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5150 N A W Grimes Blvd, Round Rock, TX 78665 Phone: 512-982-9929

Marlie Rivera Cantillo, - Medicare Nurse Practitioner in Round Rock, TX