MARIANGELES MEDINA PEREZ M.D.
NPI 1710339627
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Q: What is Mariangeles Medina Perez's NPI number?

The NPI number for Mariangeles Medina Perez is 1710339627. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Q: What is Mariangeles Medina Perez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 05, 2016PECOS EnrolledAccepts Medicare Assignment

750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5540 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 21, 2017 (2 updates tracked since 2017).

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About Mariangeles Medina Perez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIANGELES MEDINA PEREZ M.D. (NPI 1710339627) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1710339627

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARIANGELES MEDINA PEREZCredential: M.D.

Location Address750 E ADAMS STSyracuse, NY 13210-2306

Mailing Address750 E Adams StSyracuse, NY 13210-2306 · (315) 464-5540

Phone(315) 464-5540

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 5, 2016

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1710339627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

750 E ADAMS ST, Syracuse, NY 13210

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mariangeles Medina Perez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638463433

PECOS Enrollment IDI20230726000438

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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