Lourdes Loreto Md Pa - Medicare Primary Care in Tampa, FL

Lourdes Loreto Md Pa is a medicare enrolled primary clinic (Internal Medicine) in Tampa, Florida. The current practice location for Lourdes Loreto Md Pa is 4710 N Habana Ave, 202, Tampa, Florida. For appointments, you can reach them via phone at (813) 877-3902. The mailing address for Lourdes Loreto Md Pa is 4710 N Habana Ave, 202, Tampa, Florida and phone number is (813) 877-3902.

Lourdes Loreto Md Pa is licensed to practice in Florida (license number ME29045). The clinic also participates in the medicare program and its NPI number is 1013108984. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (813) 877-3902.

Contact Information

Lourdes Loreto Md Pa
4710 N Habana Ave
202
Tampa
FL 33614
(813) 877-3902
(813) 877-3807

Primary Care Clinic Profile

Full NameLourdes Loreto Md Pa
SpecialityInternal Medicine
Location4710 N Habana Ave, Tampa, Florida
Authorized Official Name and PositionLourdes Loreto (PHYSICIAN)
Authorized Official Contact8138773902
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lourdes Loreto Md Pa
4710 N Habana Ave
202
Tampa
FL 33614

Ph: (813) 877-3902
Lourdes Loreto Md Pa
4710 N Habana Ave
202
Tampa
FL 33614

Ph: (813) 877-3902

NPI Details:

NPI Number1013108984
Provider Enumeration Date08/06/2007
Last Update Date03/05/2008

Medicare PECOS Information:

Medicare PECOS PAC ID3870682388
Medicare Enrollment IDO20071207000243

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Medical Identifiers

Medical identifiers for Lourdes Loreto Md Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013108984NPI-NPPES
057966100MedicaidFL
29972OtherFLBLUE CROSS BLUE SHIELD
407112745OtherFLRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ME29045 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lourdes Loreto Md Pa acts as a billing entity for following providers:
Provider NameLourdes U Loreto
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508045774
PECOS PAC ID: 9638270077
Enrollment ID: I20070730000001

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