Juan C Pallares, MD - Medicare Radiology in Fort Defiance, AZ

Juan C Pallares, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Defiance, Arizona. His current practice location is Corner Route N12 And N7, Fort Defiance, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 729-8000.

Juan C Pallares is licensed to practice in Texas (license number F8602) 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 1578544987.

Contact Information

Juan C Pallares, MD
Corner Route N12 And N7,
Fort Defiance, AZ 86504
(928) 729-8000
Not Available



Physician's Profile

Full NameJuan C Pallares
GenderMale
SpecialityRadiology - Diagnostic Radiology
LocationCorner Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578544987
  • Provider Enumeration Date: 11/11/2005
  • Last Update Date: 11/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4587761564
  • Enrollment ID: I20140821001293

Medical Identifiers

Medical identifiers for Juan C Pallares such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578544987NPI-NPPES
110390504MedicaidTX
110390505MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology F8602 (Texas)Primary
2085R0202XRadiology - Diagnostic Radiology ME87312 (Florida)Secondary

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. Juan C Pallares allows following entities to bill medicare on his behalf.
Entity NameSingleton Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538107875
PECOS PAC ID: 6305731118
Enrollment ID: O20040315000385

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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. Juan C Pallares 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
Juan C Pallares, MD
Po Box 649,
Fort Defiance, AZ 86504-0649

Ph: (928) 729-8000
Juan C Pallares, MD
Corner Route N12 And N7,
Fort Defiance, AZ 86504

Ph: (928) 729-8000

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Radiology Doctors in Fort Defiance, AZ


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