Dr Rafael Eduardo Ruiz Gaviria Sr, MD - Medicare Internal Medicine in Milford, DE

Dr Rafael Eduardo Ruiz Gaviria Sr, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Milford, Delaware. His current practice location is 101 Wellness Way Ste 200, Milford, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 430-0867.

Dr Rafael Eduardo Ruiz Gaviria Sr is licensed to practice in Delaware (license number C1-0025866) 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 1679067334.

Contact Information

Dr Rafael Eduardo Ruiz Gaviria Sr, MD
101 Wellness Way Ste 200,
Milford, DE 19963-4394
(302) 430-0867
(302) 430-0421

Map and Direction




Physician's Profile

Full NameDr Rafael Eduardo Ruiz Gaviria Sr
GenderMale
SpecialityInternal Medicine - Infectious Disease
Location101 Wellness Way Ste 200, Milford, Delaware
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679067334
  • Provider Enumeration Date: 06/17/2018
  • Last Update Date: 07/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749641660
  • Enrollment ID: I20230725002038

Medical Identifiers

Medical identifiers for Dr Rafael Eduardo Ruiz Gaviria Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679067334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease C1-0025866 (Delaware)Primary
207R00000XInternal Medicine C1-0025866 (Delaware)Secondary

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 Rafael Eduardo Ruiz Gaviria Sr allows following entities to bill medicare on his behalf.
Entity NameBayhealth Medical Center, Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1285809509
PECOS PAC ID: 1658364740
Enrollment ID: O20081010000398

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 Rafael Eduardo Ruiz Gaviria Sr 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 Rafael Eduardo Ruiz Gaviria Sr, MD
640 S. State Street, Mail Code 3055,
Dover, DE 19901

Ph: (302) 480-1688
Dr Rafael Eduardo Ruiz Gaviria Sr, MD
101 Wellness Way Ste 200,
Milford, DE 19963-4394

Ph: (302) 430-0867

Reviews and Comments


Internal Medicine Doctors in Milford, DE

Antonio L Zarraga, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 101 Wellness Way Ste 200, Milford, DE 19963
Phone: 302-430-0867    Fax: 302-430-0421
Rabail Qureshi, M.D
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 201 W Liberty Way, Milford, DE 19963
Phone: 302-424-3694    
Maryam Munir, MD
Infectious Disease
Medicare: Medicare Enrolled
Practice Location: 100 Wellness Way, Milford, DE 19963
Phone: 347-325-0762    
Ethan Frederick Keller, MD
Infectious Disease
Medicare: Medicare Enrolled
Practice Location: 804 N Dupont Blvd, Milford, DE 19963
Phone: 302-725-3557    
Meliseanna Katerina Elizabeth Gibbons, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 101 Wellness Way Ste 200, Milford, DE 19963
Phone: 302-430-0867    Fax: 302-430-0421
Lei Lei Min, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 101 Wellness Way Ste 200, Milford, DE 19963
Phone: 302-422-1251    Fax: 302-424-6513
Mwangi Kamau, M.D.
Infectious Disease
Medicare: Medicare Enrolled
Practice Location: 100 Kings Highway, Milford, DE 19963
Phone: 302-503-3922    

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).

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