Diego Jose Heredia Vintimilla, MD - Medicare Critical Care (intensivists) in Elkhart, IN

Diego Jose Heredia Vintimilla, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Elkhart, Indiana. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Beacon Medical Group Inc and his current practice location is 500 Arcade Ave Ste 210, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 389-5656.

Diego Jose Heredia Vintimilla is licensed to practice in Indiana (license number 01074507A) 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 1831321942.

Contact Information

Diego Jose Heredia Vintimilla, MD
500 Arcade Ave Ste 210,
Elkhart, IN 46514-2485
(574) 389-5656
(574) 523-7891



Physician's Profile

Full NameDiego Jose Heredia Vintimilla
GenderMale
SpecialityCritical Care (intensivists)
Experience18 Years
Location500 Arcade Ave Ste 210, Elkhart, Indiana
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:
  • Diego Jose Heredia Vintimilla graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1831321942
  • Provider Enumeration Date: 08/24/2009
  • Last Update Date: 02/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1557672250
  • Enrollment ID: I20150623000077

Medical Identifiers

Medical identifiers for Diego Jose Heredia Vintimilla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831321942NPI-NPPES
201289950MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 01074507A (Indiana)Secondary
207R00000XInternal Medicine 01074507A (Indiana)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 01074507A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elkhart General HospitalElkhart, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beacon Medical Group Inc1254243306452

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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. Diego Jose Heredia Vintimilla allows following entities to bill medicare on his behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657

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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. Diego Jose Heredia Vintimilla 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
Diego Jose Heredia Vintimilla, MD
3245 Health Dr Ste 100,
Granger, IN 46530-1380

Ph: (574) 647-1840
Diego Jose Heredia Vintimilla, MD
500 Arcade Ave Ste 210,
Elkhart, IN 46514-2485

Ph: (574) 389-5656

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Internal Medicine Doctors in Elkhart, IN

Mr. Gordon M Hughes, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 303 S Nappanee St, Elkhart, IN 46514
Phone: 574-296-3200    
Dr. Bruce A. Lockwitz, M.D.
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: 303 S Nappanee St, Elkhart, IN 46514
Phone: 574-296-3307    Fax: 574-296-3928
Dr. George Collins Nwadiaro, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 303 S Nappanee St, Elkhart, IN 46514
Phone: 574-296-3200    Fax: 574-296-3300
Essam A. Montasir, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 236 Simpson Ave, Elkhart, IN 46516
Phone: 574-293-0052    Fax: 574-293-1739
Muhammad A Saeed, M.D
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Arcade Ave Ste 210, Elkhart, IN 46514
Phone: 574-389-5656    Fax: 574-523-7891
Adil Wani, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Arcade Ave Ste 400, Elkhart, IN 46514
Phone: 574-522-2284    Fax: 574-522-3952
Dr. Luisito C. Gonzales, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 303 S Nappanee St, Suite A, Elkhart, IN 46514
Phone: 574-296-3338    Fax: 574-296-3332

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