Raymond Charles Decesare Sr, DO is a medicare enrolled "Family Medicine" physician in Portland, Pennsylvania. His current practice location is
716 Delaware Avenue, Portland, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 897-6272.
Raymond Charles Decesare Sr is licensed to practice in Pennsylvania (license number OS002690L) 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 1841388485.
Physician's Profile
Full Name | Raymond Charles Decesare Sr |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 716 Delaware Avenue, Portland, Pennsylvania |
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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: 1841388485
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264595313
- Enrollment ID: I20090115000250
Medical Identifiers
Medical identifiers for Raymond Charles Decesare Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841388485 | NPI | - | NPPES |
DE041920 | Other | PA | BLUE SHIELD/BLUE CROSS |
503825 | Other | PA | US HEALTHCARE/AETNA |
14843 | Other | PA | GEISENGERS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | OS002690L (Pennsylvania) | 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. Raymond Charles Decesare Sr 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 |
Raymond Charles Decesare Sr, DO 206 E Brown St, East Stroudsburg, PA 18301-3006 Ph: (570) 897-6272 | Raymond Charles Decesare Sr, DO 716 Delaware Avenue, Portland, PA 18351-0358 Ph: (570) 897-6272 |
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