Dr Ramon Omar Vicencio, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in York, Pennsylvania. His current practice location is
Po Box 15198, York, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 851-3038.
Dr Ramon Omar Vicencio is licensed to practice in * (Not Available) (license number ) 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 1083292130.
Physician's Profile
Full Name | Dr Ramon Omar Vicencio |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | Po Box 15198, York, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083292130
- Provider Enumeration Date: 03/31/2021
- Last Update Date: 07/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092116186
- Enrollment ID: I20240618003371
Medical Identifiers
Medical identifiers for Dr Ramon Omar Vicencio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083292130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QS0010X | Family Medicine - Sports Medicine | MD484891 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Ramon Omar Vicencio allows following entities to bill medicare on his behalf.
Entity Name | Wellspan Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
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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 Ramon Omar Vicencio 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 Ramon Omar Vicencio, MD Po Box 15198, York, PA 17405-7198 Ph: () - | Dr Ramon Omar Vicencio, MD Po Box 15198, York, PA 17405-7198 Ph: (717) 851-3038 |
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