Raleigh Green Humphries, MD is a medicare enrolled "Urology" physician in Coralville, Iowa. His current practice location is
105 E 9th St, Coralville, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 467-2000.
Raleigh Green Humphries is licensed to practice in Iowa (license number MD-39882) 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 1255327565.
Physician's Profile
Full Name | Raleigh Green Humphries |
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Gender | Male |
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Speciality | Urology |
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Location | 105 E 9th St, Coralville, Iowa |
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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: 1255327565
- Provider Enumeration Date: 09/22/2005
- Last Update Date: 12/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799784732
- Enrollment ID: I20140408000457
Medical Identifiers
Medical identifiers for Raleigh Green Humphries such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255327565 | NPI | - | NPPES |
8944557 | Medicaid | NC | |
44557 | Other | NC | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 32117 (North Carolina) | Secondary |
208800000X | Urology | MD-39882 (Iowa) | 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. Raleigh Green Humphries allows following entities to bill medicare on his behalf.
Entity Name | Urology Clinic Of Winchester, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831290451 PECOS PAC ID: 6507843398 Enrollment ID: O20040630000346 |
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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. Raleigh Green Humphries 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 |
Raleigh Green Humphries, MD 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 467-2000 | Raleigh Green Humphries, MD 105 E 9th St, Coralville, IA 52241-2209 Ph: (319) 467-2000 |
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