Dr Nydia Gricelle Deltoro Rivera, MD, WCC DWC, CWS - Medicare General Practice in Lake Wales, FL

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Dr Nydia Gricelle Deltoro Rivera, MD, WCC DWC, CWS is a medicare enrolled "General Practice" physician in Lake Wales, Florida. Her current practice location is 1120 Carlton Ave, Lake Wales, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 270-4546.

Dr Nydia Gricelle Deltoro Rivera is licensed to practice in Florida (license number ACN634) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679557912.

Contact Information

Dr Nydia Gricelle Deltoro Rivera, MD, WCC DWC, CWS
1120 Carlton Ave,
Lake Wales, FL 33853-4348
(863) 270-4546
Not Available

Map and Direction




Physician's Profile

Full NameDr Nydia Gricelle Deltoro Rivera
GenderFemale
SpecialityGeneral Practice
Location1120 Carlton Ave, Lake Wales, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679557912
  • Provider Enumeration Date: 11/30/2005
  • Last Update Date: 03/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082516380
  • Enrollment ID: I20150819008963

Medical Identifiers

Medical identifiers for Dr Nydia Gricelle Deltoro Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679557912NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 13203 (Puerto Rico)Secondary
208D00000XGeneral Practice ACN634 (Florida)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 Nydia Gricelle Deltoro Rivera allows following entities to bill medicare on her behalf.
Entity NameAmerican Care Of Tampa Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245385095
PECOS PAC ID: 6103845268
Enrollment ID: O20051117000427
Entity NameAmerican Care Of South Florida, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477754539
PECOS PAC ID: 9032354402
Enrollment ID: O20130408000217

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 Nydia Gricelle Deltoro Rivera 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 Nydia Gricelle Deltoro Rivera, MD, WCC DWC, CWS
12171 Sw 268th St,
Homestead, FL 33032-8001

Ph: (305) 278-0200		Dr Nydia Gricelle Deltoro Rivera, MD, WCC DWC, CWS
1120 Carlton Ave,
Lake Wales, FL 33853-4348

Ph: (863) 270-4546

Reviews and Comments


General Practice Doctors in Lake Wales, FL

Jean Fritzner Balan, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 305 W Central Ave, Lake Wales, FL 33853
Phone: 866-234-8534    
Dr. Angela Maria Colon Santiago, M.D
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 684 State Road 60 W, Lake Wales, FL 33853
Phone: 863-949-4868    Fax: 863-223-8549
Dr. Juan Alberto Martin Lissabet, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 684 State Road 60 W, Lake Wales, FL 33853
Phone: 863-949-4868    Fax: 863-223-8549

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.