Brian J Duffy, MD - Medicare Surgery in Wilmington, DE

Brian J Duffy, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Wilmington, Delaware. His current practice location is 1600 Rockland Road, Wilmington, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 651-4000.

Brian J Duffy is licensed to practice in Delaware (license number C10008773) 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 1952569022.

Contact Information

Brian J Duffy, MD
1600 Rockland Road,
Wilmington, DE 19803-3607
(302) 651-4000
(302) 651-4945

Map and Direction




Physician's Profile

Full NameBrian J Duffy
GenderMale
SpecialitySurgery - Pediatric Surgery
Location1600 Rockland Road, Wilmington, Delaware
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952569022
  • Provider Enumeration Date: 05/27/2008
  • Last Update Date: 12/14/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3173574993
  • Enrollment ID: I20180306001705

Medical Identifiers

Medical identifiers for Brian J Duffy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952569022NPI-NPPES
002634401OtherMDMD DEPT OF HLTH & MENTAL HYGIENE
0169668OtherNJNJ DEPT OF HLTH DIVISION OF MEDICAL ASSIST & HLTH SVCS
1952569022MedicaidDE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery 11013177A (Indiana)Secondary
2086S0127XSurgery - Trauma Surgery 11013177A (Indiana)Secondary
2086S0120XSurgery - Pediatric Surgery C10008773 (Delaware)Primary
2086S0120XSurgery - Pediatric Surgery MD435223 (Pennsylvania)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. Brian J Duffy allows following entities to bill medicare on his behalf.
Entity NameCooper Surgical Associates, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427177195
PECOS PAC ID: 3274430764
Enrollment ID: O20031213000037

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. Brian J Duffy 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
Brian J Duffy, MD
Po Box 191, Provider Enrollment Dept,
Rockland, DE 19732-0191

Ph: (302) 651-6212
Brian J Duffy, MD
1600 Rockland Road,
Wilmington, DE 19803-3607

Ph: (302) 651-4000

Reviews and Comments


Surgery Doctors in Wilmington, DE

Dr. Chukwuemeka Felix Mbadiwe,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1405 Fresno Rd, Wilmington, DE 19803
Phone: 302-477-0752    Fax: 302-477-0752
Dr. Kirk W. Reichard, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803
Phone: 302-651-4000    Fax: 302-651-4945
Dr. Matthew Mikhail Boelig, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 1600 Rockland Rd, Wilmington, DE 19803
Phone: 302-651-4200    
Dr. Michael B Goldberg, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 501 W 14th St, Wilmington, DE 19801
Phone: 302-320-4175    
Ms. Analene Tunacao, CRNP
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Kirkwood Hwy, Wilmington, DE 19805
Phone: 302-994-2511    
Dr. Charles D. Vinocur, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803
Phone: 302-651-4000    Fax: 302-651-4945
Dr. Stephen G. Murphy, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803
Phone: 302-651-4000    Fax: 302-651-4945

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.