Rafael Rivera-rivera, MD - Medicare Critical Care (intensivists) in Wichita Falls, TX

Rafael Rivera-rivera, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Wichita Falls, Texas. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Critical Care Specialists Of North Texas Pllc, Pulmonary Services Of North Texas Pllc and his current practice location is 1208 Brook Ave, Wichita Falls, Texas. You can reach out to his office (for appointments etc.) via phone at (940) 322-4480.

Rafael Rivera-rivera is licensed to practice in Texas (license number J3890) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669432209.

Contact Information

Rafael Rivera-rivera, MD
1208 Brook Ave,
Wichita Falls, TX 76301-5602
(940) 322-4480
(940) 322-8420

Map and Direction




Physician's Profile

Full NameRafael Rivera-rivera
GenderMale
SpecialityCritical Care (intensivists)
Experience36 Years
Location1208 Brook Ave, Wichita Falls, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rafael Rivera-rivera graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1669432209
  • Provider Enumeration Date: 03/27/2006
  • Last Update Date: 03/06/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1456368794
  • Enrollment ID: I20071115000600

Medical Identifiers

Medical identifiers for Rafael Rivera-rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669432209NPI-NPPES
096321701MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease J3890 (Texas)Secondary
207RC0200XInternal Medicine - Critical Care Medicine J3890 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
United Regional Health Care SystemWichita falls, TXHospital
Kell West Regional HospitalWichita falls, TXHospital
Electra Memorial HospitalElectra, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Critical Care Specialists Of North Texas Pllc488082710412
Pulmonary Services Of North Texas Pllc74162795267

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. Rafael Rivera-rivera allows following entities to bill medicare on his behalf.
Entity NameCritical Care Specialists Of North Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851717508
PECOS PAC ID: 4880827104
Enrollment ID: O20140512000760
Entity NamePulmonary Services Of North Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275934747
PECOS PAC ID: 7416279526
Enrollment ID: O20141201000086

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. Rafael Rivera-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 AddressPractice Location Address
Rafael Rivera-rivera, MD
1208 Brook Ave,
Wichita Falls, TX 76301-5602

Ph: (940) 322-4480
Rafael Rivera-rivera, MD
1208 Brook Ave,
Wichita Falls, TX 76301-5602

Ph: (940) 322-4480

Reviews and Comments


Internal Medicine Doctors in Wichita Falls, TX

Madhavi R Rajulapalli, MD
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Dr. Raja Rajeswari Divi,
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Phone: 940-764-3983    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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