Dr Juan De Rosas, MD is a medicare enrolled "Urology" physician in Lockport, New York. His current practice location is
15 Elizabeth Dr, Lockport, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 434-8802.
Dr Juan De Rosas is licensed to practice in New York (license number 117428-1) 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 1942495866.
Physician's Profile
| Full Name | Dr Juan De Rosas |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 15 Elizabeth Dr, Lockport, New York |
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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: 1942495866
- Provider Enumeration Date: 09/13/2007
- Last Update Date: 07/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 3274629829
- Enrollment ID: I20071012000518
Medical Identifiers
Medical identifiers for Dr Juan De Rosas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942495866 | NPI | - | NPPES |
| 00616317 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 117428-1 (New York) | 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 Juan De Rosas allows following entities to bill medicare on his behalf.
| Entity Name | Eastern Niagara Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063400539
PECOS PAC ID: 1254389620
Enrollment ID: O20050112000475 |
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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 Juan De Rosas 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 Juan De Rosas, MD
15 Elizabeth Dr,
Lockport, NY 14094-5226
Ph: (716) 434-8802 | Dr Juan De Rosas, MD
15 Elizabeth Dr,
Lockport, NY 14094-5226
Ph: (716) 434-8802 |
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