Surelis Yolanda Martinez Cantillo, is a medicare enrolled "Nurse Practitioner - Family" in Cedar Creek, Texas. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Blue Lotus Medical Group Llc and her current practice location is
155 Elm Forest Loop, Cedar Creek, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 669-2418.
Surelis Yolanda Martinez Cantillo is licensed to practice in Texas (license number 1009134) 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 1801629837.
Provider's Profile
| Full Name | Surelis Yolanda Martinez Cantillo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 155 Elm Forest Loop, Cedar Creek, 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. |
Medical Education and Training:
- Surelis Yolanda Martinez Cantillo graduated from nursing school in 2025
NPI Data:
- NPI Number: 1801629837
- Provider Enumeration Date: 08/23/2024
- Last Update Date: 08/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214468743
- Enrollment ID: I20241008001385
Medical Identifiers
Medical identifiers for Surelis Yolanda Martinez Cantillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801629837 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 1009134 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Blue Lotus Medical Group Llc | 7113458522 | 5 |
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. Surelis Yolanda Martinez Cantillo allows following entities to bill medicare on her behalf.
| Entity Name | Nexus Health Partners Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356055701 PECOS PAC ID: 1557733201 Enrollment ID: O20230207001958 |
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| Entity Name | Blue Lotus Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578309852 PECOS PAC ID: 7113458522 Enrollment ID: O20241009000460 |
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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. Surelis Yolanda Martinez 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 |
Surelis Yolanda Martinez Cantillo, 155 Elm Forest Loop, Cedar Creek, TX 78612-4021 Ph: (512) 669-2418 | Surelis Yolanda Martinez Cantillo, 155 Elm Forest Loop, Cedar Creek, TX 78612-4021 Ph: (512) 669-2418 |
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