Ramiro Sergio Maldonado, MD - Medicare Ophthalmology in Durham, NC

Ramiro Sergio Maldonado, MD is a medicare enrolled "Ophthalmology" physician in Durham, North Carolina. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Duke Health Integrated Practice Inc and his current practice location is Duke University Medical Ctr, Ophthalmology Department, Durham, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 681-3816.

Ramiro Sergio Maldonado is licensed to practice in North Carolina (license number 2022-00189) 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 1215228036.

Contact Information

Ramiro Sergio Maldonado, MD
Duke University Medical Ctr, Ophthalmology Department,
Durham, NC 27710-0001
(919) 681-3816
(919) 681-8856

Map and Direction




Physician's Profile

Full NameRamiro Sergio Maldonado
GenderMale
SpecialityOphthalmology
Experience22 Years
LocationDuke University Medical Ctr, Durham, North Carolina
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:
  • Ramiro Sergio Maldonado graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1215228036
  • Provider Enumeration Date: 04/27/2011
  • Last Update Date: 04/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3173872454
  • Enrollment ID: I20220414001881

Medical Identifiers

Medical identifiers for Ramiro Sergio Maldonado such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215228036NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology MD457242 (Pennsylvania)Secondary
207W00000XOphthalmology 2022-00189 (North Carolina)Primary
207WX0107XOphthalmology - Retina Specialist 51521 (Kentucky)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Duke University HospitalDurham, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Duke Health Integrated Practice Inc83254127372636

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. Ramiro Sergio Maldonado allows following entities to bill medicare on his behalf.
Entity NamePrivate Diagnostic Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457389033
PECOS PAC ID: 1355254368
Enrollment ID: O20031204000577
Entity NameDuke Health Integrated Practice Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205553369
PECOS PAC ID: 8325412737
Enrollment ID: O20230327002247

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. Ramiro Sergio Maldonado 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
Ramiro Sergio Maldonado, MD
5213 S Alston Ave,
Durham, NC 27713-4430

Ph: (919) 620-4855
Ramiro Sergio Maldonado, MD
Duke University Medical Ctr, Ophthalmology Department,
Durham, NC 27710-0001

Ph: (919) 681-3816

Reviews and Comments


Ophthalmology Doctors in Durham, NC

Anupama Betkerur Horne, MD
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Phone: 919-572-0050    Fax: 919-572-9200
Henry Hsien-chun Tseng, MD
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Dr. Zena I-linn Lim, M.D.
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Jeremiah Richard Marion Iii, MD
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Brooks Mccuen, M.D.
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Phone: 919-620-4467    
Frankie-lynn Silver, MD
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Phone: 919-684-8111    
Dr. Jay Jeffrey Meyer, M.D.
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Practice Location: 2301 Erwin Rd, Durham, NC 27705
Phone: 919-684-8111    

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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