Dr Raul Horacio Zambrano, MD - Medicare Family Medicine in Dayton, OH

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Dr Raul Horacio Zambrano, MD is a medicare enrolled "Family Medicine" physician in Dayton, Ohio. His current practice location is 1431 Wayne Ave, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 348-7001.

Dr Raul Horacio Zambrano is licensed to practice in Ohio (license number 35.139023) 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 1598736472.

Contact Information

Dr Raul Horacio Zambrano, MD
1431 Wayne Ave,
Dayton, OH 45410-1411
(937) 348-7001
Not Available

Map and Direction




Physician's Profile

Full NameDr Raul Horacio Zambrano
GenderMale
SpecialityFamily Medicine
Location1431 Wayne Ave, Dayton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598736472
  • Provider Enumeration Date: 01/30/2006
  • Last Update Date: 05/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1951375096
  • Enrollment ID: I20191212001891

Medical Identifiers

Medical identifiers for Dr Raul Horacio Zambrano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598736472NPI-NPPES
02533219MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01081132A (Indiana)Secondary
207Q00000XFamily Medicine 230369 (New York)Secondary
207Q00000XFamily Medicine 35.139023 (Ohio)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 Raul Horacio Zambrano allows following entities to bill medicare on his behalf.
Entity NameMarion General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528099041
PECOS PAC ID: 9133023625
Enrollment ID: O20040524001483
Entity NamePlushcare Of California Inc A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811378987
PECOS PAC ID: 2365707163
Enrollment ID: O20220214002365

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 Raul Horacio Zambrano 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 Raul Horacio Zambrano, MD
30 W Monroe St Ste 1200,
Chicago, IL 60603-2420

Ph: (312) 733-9730		Dr Raul Horacio Zambrano, MD
1431 Wayne Ave,
Dayton, OH 45410-1411

Ph: (937) 348-7001

Reviews and Comments


Family Medicine Doctors in Dayton, OH

Dr. Derek Williamson Sherk, MD
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Practice Location: 3077 Kettering Blvd, Suite Number 319, Dayton, OH 45439
Phone: 937-293-2133    
Dr. Barbara A Bennett, D.O.
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Phone: 937-233-4252    Fax: 937-233-7605
Jeffrey R Millard, MD
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Dr. Teresa Zryd, MD
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Phone: 937-245-7200    Fax: 937-245-7922
Dr. Roger N Rizzardi, M.D.
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Phone: 937-252-2000    
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Medicare: Medicare Enrolled
Practice Location: 4100 W 3rd St, Dayton, OH 45428
Phone: 937-268-6511    Fax: 513-423-3309
Theresa Kern, MS,RN, AGCNS-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 324 Wilmington Ave, Dayton, OH 45420
Phone: 937-256-4490    Fax: 937-258-5478

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.