Dr Richard Bruce Debenedetto, MD is a
Emergency Medicine - Emergency Medical Services physician based in South Padre Island, Texas. Dr Richard Bruce Debenedetto is licensed to practice in Texas (license number J9579) and his current practice location is 2217 Padre Blvd, South Padre Island, Texas. He can be reached at his office (for appointments etc.) via phone at
(956) 761-4649.
NPI number for Dr Richard Bruce Debenedetto is 1679549513 and his current mailing address is 2217 Padre Blvd, South Padre Island, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679549513.
Physician's Profile
| Full Name | Dr Richard Bruce Debenedetto |
|---|
| Gender | Male |
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| Speciality | Emergency Medicine - Emergency Medical Services |
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| Location | 2217 Padre Blvd, South Padre Island, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679549513
- Provider Enumeration Date: 02/28/2006
- Last Update Date: 10/03/2013
Medical Identifiers
Medical identifiers for Dr Richard Bruce Debenedetto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679549513 | NPI | - | NPPES |
| 8CE910 | Other | TX | BCBS |
| 113326621 | Medicaid | TX | |
| 8CE910 | Other | TX | BCBSTX |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | J9579 (Texas) | Primary |
| 207R00000X | Internal Medicine | J9579 (Texas) | Secondary |
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 Richard Bruce Debenedetto is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Richard Bruce Debenedetto, MD
2217 Padre Blvd,
South Padre Island, TX 78597
Ph: (956) 761-4649 | Dr Richard Bruce Debenedetto, MD
2217 Padre Blvd,
South Padre Island, TX 78597
Ph: (956) 761-4649 |
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