Dr Humberto Rivas, MD is a medicare enrolled "Pediatrics" physician in Gonzales, Texas. His current practice location is
1110 N Sarah Dewitt Dr, Gonzales, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 672-8473.
Dr Humberto Rivas is licensed to practice in Texas (license number 208000000X) 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 1376547919.
Physician's Profile
| Full Name | Dr Humberto Rivas |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1110 N Sarah Dewitt Dr, Gonzales, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376547919
- Provider Enumeration Date: 06/10/2005
- Last Update Date: 11/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 9638101579
- Enrollment ID: I20050831000543
Medical Identifiers
Medical identifiers for Dr Humberto Rivas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376547919 | NPI | - | NPPES |
| 130892609 | Medicaid | TX | |
| J3202 | Other | TX | STATE LI |
| 110010 | Other | TX | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 208000000X (Texas) | 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 Humberto Rivas allows following entities to bill medicare on his behalf.
| Entity Name | Gonzales Healthcare Systems |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013916287
PECOS PAC ID: 8527963776
Enrollment ID: O20040316001074 |
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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 Humberto Rivas 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 Humberto Rivas, MD
1110 N Sarah Dewitt Dr,
Gonzales, TX 78629-3311
Ph: (830) 672-8502 | Dr Humberto Rivas, MD
1110 N Sarah Dewitt Dr,
Gonzales, TX 78629-3311
Ph: (830) 672-8473 |
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