Mr Francisco Gozum Rivera, MD is a medicare enrolled "Surgery" physician in Mc Dowell, Kentucky. His current practice location is
9788 Ky Rt 122, Ste 2, Mc Dowell, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 377-2492.
Mr Francisco Gozum Rivera is licensed to practice in Kentucky (license number 21584) 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 1780795906.
Physician's Profile
| Full Name | Mr Francisco Gozum Rivera |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 9788 Ky Rt 122, Mc Dowell, Kentucky |
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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: 1780795906
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 10/27/2011
Medicare PECOS Information:
- PECOS PAC ID: 5496757916
- Enrollment ID: I20070212000504
Medical Identifiers
Medical identifiers for Mr Francisco Gozum Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780795906 | NPI | - | NPPES |
| 020023894 | Other | | PALMETTO RAILROAD MEDICAR |
| 020364400 | Other | | FEDERAL BLACK LUNG/DOL |
| 000000000837 | Other | | CHA HEALTH |
| 000000048788 | Other | | ANTHEM BLUE CROSS/SHIELD |
| 230264400 | Other | | DEPT OF LABOR/ACS UNIT/WO |
| 0303224 | Other | | UMWA |
| 64215841 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 21584 (Kentucky) | 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. Mr Francisco Gozum Rivera allows following entities to bill medicare on his behalf.
| Entity Name | Southern Medical Partners, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538109962
PECOS PAC ID: 8123923679
Enrollment ID: O20031206000036 |
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| Entity Name | Mary Hall Md Francisco Rivera Md And Associates Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952412173
PECOS PAC ID: 5294724233
Enrollment ID: O20040506001050 |
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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. Mr Francisco Gozum 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 |
|---|
Mr Francisco Gozum Rivera, MD
Po Box 277,
Mc Dowell, KY 41647-0277
Ph: (606) 377-2492 | Mr Francisco Gozum Rivera, MD
9788 Ky Rt 122, Ste 2,
Mc Dowell, KY 41647-6042
Ph: (606) 377-2492 |
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