Dr Thomas D Rafferty, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Avon Lake, Ohio. His current practice location is
736 Hunt Club Way, Avon Lake, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 617-5884.
Dr Thomas D Rafferty is licensed to practice in Ohio (license number 35046972R) 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 1093773103.
Physician's Profile
Full Name | Dr Thomas D Rafferty |
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Gender | Male |
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Speciality | Surgery - Vascular Surgery |
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Location | 736 Hunt Club Way, Avon Lake, Ohio |
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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: 1093773103
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 06/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 4587683453
- Enrollment ID: I20051121000505
Medical Identifiers
Medical identifiers for Dr Thomas D Rafferty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093773103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0129X | Surgery - Vascular Surgery | 35046972R (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 Thomas D Rafferty allows following entities to bill medicare on his behalf.
Entity Name | North East Ohio Group Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063575462 PECOS PAC ID: 8426960618 Enrollment ID: O20031105000352 |
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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 Thomas D Rafferty 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 Thomas D Rafferty, MD 736 Hunt Club Way, Avon Lake, OH 44012-4019 Ph: (440) 617-5884 | Dr Thomas D Rafferty, MD 736 Hunt Club Way, Avon Lake, OH 44012-4019 Ph: (440) 617-5884 |
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