Dr Rafael Nicholas Favela Iv, MD in Columbia, TN

Dr Rafael Nicholas Favela Iv, MD is a medicare enrolled "Internal Medicine" physician in Columbia, Tennessee. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Maury Regional Medical Group, Inc and his current practice location is 1224 Trotwood Ave, Columbia, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 381-1111.

Dr Rafael Nicholas Favela Iv is licensed to practice in Tennessee (license number 54622) 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 1659631299.

Contact Information

	Dr Rafael Nicholas Favela Iv, MD
	1224 Trotwood Ave, Columbia, TN 38401-4802
	(931) 381-1111
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Rafael Nicholas Favela Iv
Gender	Male
Speciality	Internal Medicine
Experience	12 Years
Location	1224 Trotwood Ave, Columbia, Tennessee
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 Rafael Nicholas Favela Iv graduated from medical school in 2012

NPI Data:

NPI Number: 1659631299
Provider Enumeration Date: 05/16/2012
Last Update Date: 07/25/2016

Medicare PECOS Information:

PECOS PAC ID: 7012146665
Enrollment ID: I20161018002923

Medical Identifiers

Medical identifiers for Dr Rafael Nicholas Favela Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659631299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	54622 (Tennessee)	Primary
208000000X	Pediatrics	54622 (Tennessee)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Maury Regional Hospital	Columbia, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Maury Regional Medical Group, Inc	7911810742	96

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 Nicholas Favela Iv allows following entities to bill medicare on his behalf.

Entity Name	Maury Regional Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205886264 PECOS PAC ID: 7911810742 Enrollment ID: O20040227000252

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 Nicholas Favela Iv 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 Rafael Nicholas Favela Iv, MD 1224 Trotwood Ave, Columbia, TN 38401-4802 Ph: (931) 381-1111	Dr Rafael Nicholas Favela Iv, MD 1224 Trotwood Ave, Columbia, TN 38401-4802 Ph: (931) 381-1111

Reviews and Comments

Internal Medicine Doctors in Columbia, TN

Bethany G Summerford, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111
Jessica Joseph-alexis, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1220 Trotwood Ave Ste 401, Columbia, TN 38401 Phone: 931-388-8622
Dr. Hany Nimr Rezk, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401 Phone: 931-388-3209 Fax: 931-388-0105
Anthony Donald Haase Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-380-4072 Fax: 931-490-7043
Christopher R Edwards, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111
Dr. Cheryl Buttram Clayton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401 Phone: 931-388-3209 Fax: 931-388-0105
John Spencer Jensen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1222 Trotwood Ave, Suite 503, Columbia, TN 38401 Phone: 931-490-7775 Fax: 931-490-7797

Dr Rafael Nicholas Favela Iv, MD - Medicare Internal Medicine in Columbia, TN