Ms Petra De Leon, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Mathis, Texas. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
1205 E San Patricio Ave, Mathis, Texas. You can reach out to her office (for appointments etc.) via phone at
(361) 453-4470.
Ms Petra De Leon is licensed to practice in Texas (license number AP131476) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811340490.
Provider's Profile
| Full Name | Ms Petra De Leon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 1205 E San Patricio Ave, Mathis, Texas |
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| Accepts Medicare Assignments | Yes. She 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:
- Ms Petra De Leon graduated from nursing school in 2016
NPI Data:
- NPI Number: 1811340490
- Provider Enumeration Date: 07/19/2016
- Last Update Date: 06/30/2026
Medicare PECOS Information:
- PECOS PAC ID: 3577843176
- Enrollment ID: I20161216000197
Medical Identifiers
Medical identifiers for Ms Petra De Leon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811340490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP131476 (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. Ms Petra De Leon allows following entities to bill medicare on her behalf.
| Entity Name | Ucp Physicians of Central Texas, PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922289412
PECOS PAC ID: 3173697935
Enrollment ID: O20080729000203 |
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| Entity Name | Alice Health & Wellness Clinic LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942971353
PECOS PAC ID: 4981092327
Enrollment ID: O20211103003275 |
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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. Ms Petra De Leon 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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Ms Petra De Leon, FNP-C
1205 E San Patricio Ave,
Mathis, TX 78368-2402
Ph: (361) 453-4470 | Ms Petra De Leon, FNP-C
1205 E San Patricio Ave,
Mathis, TX 78368-2402
Ph: (361) 453-4470 |
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