Dr Philip O Rivera, DDS is a medicare enrolled "Dentist - General Practice" provider in Sante Fe, New Mexico. His current practice location is
#6 Calle Medico Ste 2, Sante Fe, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 982-4686.
Dr Philip O Rivera is licensed to practice in New Mexico (license number DD1252) 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 1447365028.
Healthcare Provider's Profile
Full Name | Dr Philip O Rivera |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | #6 Calle Medico Ste 2, Sante Fe, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447365028
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8527384031
- Enrollment ID: I20150227001032
Medical Identifiers
Medical identifiers for Dr Philip O Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447365028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DD1252 (New Mexico) | 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 Philip O Rivera 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 Philip O Rivera, DDS #6 Calle Medico Ste 2, Sante Fe, NM 87505 Ph: (505) 982-4686 | Dr Philip O Rivera, DDS #6 Calle Medico Ste 2, Sante Fe, NM 87505 Ph: (505) 982-4686 |
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