Raphael Augusto Correa Bastianon Santiago, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Aurora, Colorado. His current practice location is
13123 E 16th Ave, Aurora, Colorado. You can reach out to his office (for appointments etc.) via phone at
(954) 505-9409.
Raphael Augusto Correa Bastianon Santiago is licensed to practice in Colorado (license number TL.0009866) 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 1922794403.
Physician's Profile
Full Name | Raphael Augusto Correa Bastianon Santiago |
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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 | 13123 E 16th Ave, 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: 1922794403
- Provider Enumeration Date: 04/17/2023
- Last Update Date: 06/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830559053
- Enrollment ID: I20230720000509
Medical Identifiers
Medical identifiers for Raphael Augusto Correa Bastianon Santiago such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922794403 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | 34231HSE (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | TL.0009866 (Colorado) | Primary |
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. Raphael Augusto Correa Bastianon Santiago 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 |
Raphael Augusto Correa Bastianon Santiago, MD 2950 Cleveland Clinic Blvd, Weston, FL 33331-3625 Ph: () - | Raphael Augusto Correa Bastianon Santiago, MD 13123 E 16th Ave, Aurora, CO 80045-7106 Ph: (954) 505-9409 |
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