Dr Cornelio Roderick Ruperto, MD - Medicare Psychiatry & Neurology in Lewisville, NC

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Dr Cornelio Roderick Ruperto, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Lewisville, North Carolina. His current practice location is 6620 Shallowford Rd, Suite 200, Lewisville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 945-0345.

Dr Cornelio Roderick Ruperto is licensed to practice in North Carolina (license number 2006-01732) 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 1316065204.

Contact Information

Dr Cornelio Roderick Ruperto, MD
6620 Shallowford Rd, Suite 200,
Lewisville, NC 27023-9504
(336) 945-0345
(336) 945-0342

Map and Direction




Physician's Profile

Full NameDr Cornelio Roderick Ruperto
GenderMale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location6620 Shallowford Rd, Lewisville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316065204
  • Provider Enumeration Date: 03/27/2007
  • Last Update Date: 10/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8628142114
  • Enrollment ID: I20080731000656

Medical Identifiers

Medical identifiers for Dr Cornelio Roderick Ruperto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316065204NPI-NPPES
5900260MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 2006-01732 (North Carolina)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 2006-01732 (North Carolina)Primary

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. Dr Cornelio Roderick Ruperto allows following entities to bill medicare on his behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameForsyth Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702

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 Cornelio Roderick Ruperto 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
Dr Cornelio Roderick Ruperto, MD
350 Pilot Ridge Dr,
Lewisville, NC 27023-8119

Ph: (336) 945-0345		Dr Cornelio Roderick Ruperto, MD
6620 Shallowford Rd, Suite 200,
Lewisville, NC 27023-9504

Ph: (336) 945-0345

Reviews and Comments


Psychiatry & Neurology Doctors in Lewisville, NC


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.