Dr Fred Revoredo, MD in Paterson, NJ - Medicare Family Practice

Dr Fred Revoredo, MD is a medicare enrolled "Family Medicine" physician in Paterson, New Jersey. He went to George Washington University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ezras Choilim Health Center Inc and his current practice location is 425 15th Ave, Paterson, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 345-4155.

Dr Fred Revoredo is licensed to practice in New Jersey (license number 25MA07147400) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669588422.

Contact Information

	Dr Fred Revoredo, MD
	425 15th Ave, Paterson, NJ 07504-1811
	(973) 345-4155
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Fred Revoredo
Gender	Male
Speciality	Family Practice
Experience	29 Years
Location	425 15th Ave, Paterson, New Jersey
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Fred Revoredo attended and graduated from George Washington University School Of Medicine in 1995

NPI Data:

NPI Number: 1669588422
Provider Enumeration Date: 08/22/2006
Last Update Date: 07/29/2024

Medicare PECOS Information:

PECOS PAC ID: 3779479480
Enrollment ID: I20040227000314

Medical Identifiers

Medical identifiers for Dr Fred Revoredo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669588422	NPI	-	NPPES
8376808	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	25MA07147400 (New Jersey)	Secondary
207Q00000X	Family Medicine	25MA07147400 (New Jersey)	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 Fred Revoredo allows following entities to bill medicare on his behalf.

Entity Name	Elite Premier Medical Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609144005 PECOS PAC ID: 3274795463 Enrollment ID: O20120504000300

Entity Name	Elite Premier Medical Care Plus Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205531688 PECOS PAC ID: 4981067964 Enrollment ID: O20230823002475

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 Fred Revoredo 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 Fred Revoredo, MD 425 15th Avenue, Paterson, NJ 07504-1811 Ph: (973) 345-4155	Dr Fred Revoredo, MD 425 15th Ave, Paterson, NJ 07504-1811 Ph: (973) 345-4155

Reviews and Comments

Family Medicine Doctors in Paterson, NJ

Dr. Chandni J Patel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2000
Sohilla Ahmadi, APN Family Medicine Medicare: Medicare Enrolled Practice Location: 991 Main St, Paterson, NJ 07503 Phone: 201-234-7527
Roxanne Rengifo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2000
Dr. Jorge L Revoredo, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 425 15th Ave, Paterson, NJ 07504 Phone: 973-345-4024 Fax: 973-345-4156
Dr. Emmanuel Nyaba Yamusah, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 634 Broadway, Paterson, NJ 07514 Phone: 973-279-2616 Fax: 973-279-0399
Dr. Maleeha A Memon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2000
Dr. Ylonka Garcia-marotta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 363 21st Ave, Paterson, NJ 07501 Phone: 973-881-0007 Fax: 973-881-0049

Dr Fred Revoredo, MD - Medicare Family Practice in Paterson, NJ