Dr Austin Reid Peralta-fogle, MD in Austin, TX - Medicare Student in an Organized Health Care Education/Training Program

Dr Austin Reid Peralta-fogle, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Austin, Texas. His current practice location is 1501 Red River St Fl 2, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 495-5555.

Dr Austin Reid Peralta-fogle is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619617404.

Contact Information

	Dr Austin Reid Peralta-fogle, MD
	1501 Red River St Fl 2, Austin, TX 78712-1845
	(512) 495-5555
	Not Available

Physician's Profile

Full Name	Dr Austin Reid Peralta-fogle
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	1501 Red River St Fl 2, Austin, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619617404
Provider Enumeration Date: 03/30/2022
Last Update Date: 07/04/2023

Medicare PECOS Information:

PECOS PAC ID: 1355703935
Enrollment ID: I20230814002680

Medical Identifiers

Medical identifiers for Dr Austin Reid Peralta-fogle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619617404	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	BP10082772 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Dr Austin Reid Peralta-fogle 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
Dr Austin Reid Peralta-fogle, MD 1400 N Ih 35 Ste 2.230, Austin, TX 78701-1926 Ph: (512) 324-8235	Dr Austin Reid Peralta-fogle, MD 1501 Red River St Fl 2, Austin, TX 78712-1845 Ph: (512) 495-5555

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Dr Austin Reid Peralta-fogle, MD - Medicare Student in an Organized Health Care Education/Training Program in Austin, TX