Dr Jason Isaiah Rivera, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Aurora, Colorado. His current practice location is
12631 E 17th Ave Ste F496, Aurora, Colorado. You can reach out to his office (for appointments etc.) via phone at
(720) 553-2696.
Dr Jason Isaiah Rivera is licensed to practice in Colorado (license number TL.0008534) 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 1356923197.
Physician's Profile
Full Name | Dr Jason Isaiah Rivera |
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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 | 12631 E 17th Ave Ste F496, Aurora, Colorado |
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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: 1356923197
- Provider Enumeration Date: 04/21/2021
- Last Update Date: 08/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991106817
- Enrollment ID: I20231009003223
Medical Identifiers
Medical identifiers for Dr Jason Isaiah Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356923197 | NPI | - | NPPES |
029486 | Other | CO | KAISER COMMERCIAL NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | DR.0069518 (Colorado) | Secondary |
208D00000X | General Practice | DR.0069518 (Colorado) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | TL.0008534 (Colorado) | 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 Jason Isaiah Rivera allows following entities to bill medicare on his behalf.
Entity Name | Colorado Permanente Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
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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 Jason Isaiah Rivera 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 Jason Isaiah Rivera, MD 12631 E 17th Ave Ste F496, Aurora, CO 80045-2527 Ph: (720) 553-2696 | Dr Jason Isaiah Rivera, MD 12631 E 17th Ave Ste F496, Aurora, CO 80045-2527 Ph: (720) 553-2696 |
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