Dr Renato De Paz Querubin, MD is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Lorain, Ohio. His current practice location is
3600 Kolbe Rd, Suite 222, Lorain, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 282-7600.
Dr Renato De Paz Querubin is licensed to practice in Ohio (license number 35058175) 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 1245297928.
Physician's Profile
| Full Name | Dr Renato De Paz Querubin |
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| Gender | Male |
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| Speciality | Otolaryngology - Facial Plastic Surgery |
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| Location | 3600 Kolbe Rd, Lorain, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245297928
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 04/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799841557
- Enrollment ID: I20090303000013
Medical Identifiers
Medical identifiers for Dr Renato De Paz Querubin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245297928 | NPI | - | NPPES |
| 0966361 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 35058175 (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 Renato De Paz Querubin allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Health Physicians Lorain Specialty Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972126381
PECOS PAC ID: 4688070055
Enrollment ID: O20210909003432 |
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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 Renato De Paz Querubin 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 |
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Dr Renato De Paz Querubin, MD
3600 Kolbe Rd Ste 222,
Lorain, OH 44053-1652
Ph: (440) 282-7600 | Dr Renato De Paz Querubin, MD
3600 Kolbe Rd, Suite 222,
Lorain, OH 44053-3173
Ph: (440) 282-7600 |
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