Renato Bacol Rivera, MD is a
Surgery physician based in Breese, Illinois. Renato Bacol Rivera is licensed to practice in Illinois (license number 036045712) and his current practice location is 9515 Holy Cross Ln Ste 175, Breese, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 526-8430.
NPI number for Renato Bacol Rivera is 1083612790 and his current mailing address is 9401 Holy Cross Ln, Suite 111, Breese, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083612790.
Physician's Profile
Full Name | Renato Bacol Rivera |
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Gender | Male |
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Speciality | Surgery |
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Location | 9515 Holy Cross Ln Ste 175, Breese, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083612790
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 12/30/2021
Medical Identifiers
Medical identifiers for Renato Bacol Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083612790 | NPI | - | NPPES |
036045712 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 036045712 (Illinois) | 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. Renato Bacol Rivera is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Renato Bacol Rivera, MD 9401 Holy Cross Ln, Suite 111, Breese, IL 62230-3510 Ph: (618) 526-7133 | Renato Bacol Rivera, MD 9515 Holy Cross Ln Ste 175, Breese, IL 62230-3618 Ph: (618) 526-8430 |
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