Raul Ivan Medina Sicre, MD - Medicare Family Practice in Phoenix, AZ

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Raul Ivan Medina Sicre, MD is a medicare enrolled "Family Medicine" physician in Phoenix, Arizona. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Summit Medical Group Arizona Llc and his current practice location is 1940 W Indian School Rd Ste 1, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 782-1880.

Raul Ivan Medina Sicre is licensed to practice in Arizona (license number 58428) 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 1649685652.

Contact Information

Raul Ivan Medina Sicre, MD
1940 W Indian School Rd Ste 1,
Phoenix, AZ 85015-5112
(602) 782-1880
Not Available

Map and Direction




Physician's Profile

Full NameRaul Ivan Medina Sicre
GenderMale
SpecialityFamily Practice
Experience15 Years
Location1940 W Indian School Rd Ste 1, Phoenix, Arizona
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:
  • Raul Ivan Medina Sicre graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1649685652
  • Provider Enumeration Date: 06/27/2014
  • Last Update Date: 06/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0446525968
  • Enrollment ID: I20200728000253

Medical Identifiers

Medical identifiers for Raul Ivan Medina Sicre such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649685652NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125064345 (Illinois)Secondary
207Q00000XFamily Medicine 58428 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Arizona Llc3173872835190

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. Raul Ivan Medina Sicre allows following entities to bill medicare on his behalf.
Entity NameHonorhealth Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043851793
PECOS PAC ID: 1557274057
Enrollment ID: O20031119000717
Entity NameHonorhealth Ambulatory
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407050917
PECOS PAC ID: 5991603110
Enrollment ID: O20071005000449
Entity NameSummit Medical Group Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053810622
PECOS PAC ID: 3173872835
Enrollment ID: O20180814003015

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. Raul Ivan Medina Sicre 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
Raul Ivan Medina Sicre, MD
Po Box 746093,
Atlanta, GA 30374-6093

Ph: (312) 733-9730		Raul Ivan Medina Sicre, MD
1940 W Indian School Rd Ste 1,
Phoenix, AZ 85015-5112

Ph: (602) 782-1880

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.