Reynaldo S Dela Rosa, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Panam City, Florida. His current practice location is
449 West 23rd Street, Guld Coast Regional Medical Center, Panam City, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 767-2220.
Reynaldo S Dela Rosa is licensed to practice in Indiana (license number 01060859) 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 1447369558.
Physician's Profile
Full Name | Reynaldo S Dela Rosa |
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Gender | Male |
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Speciality | Pediatrics - Pediatric Critical Care Medicine |
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Location | 449 West 23rd Street, Panam City, Florida |
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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: 1447369558
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 12/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 0749205920
- Enrollment ID: I20140206001510
Medical Identifiers
Medical identifiers for Reynaldo S Dela Rosa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447369558 | NPI | - | NPPES |
207482605 | Medicaid | MO | |
302I816792 | Other | MS | MEDICARE PTAN |
200529540 | Medicaid | IN | |
2869472 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 01060859 (Indiana) | Primary |
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. Reynaldo S Dela Rosa allows following entities to bill medicare on his behalf.
Entity Name | Emergency Medicine Services Of Fl Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
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Entity Name | Hospital Medicine Services Of Fl, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457 |
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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. Reynaldo S Dela Rosa 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 |
Reynaldo S Dela Rosa, MD 449 W 23rd St, Guld Coast Regional Medical Center, Panama City, FL 32405-4507 Ph: (850) 767-2220 | Reynaldo S Dela Rosa, MD 449 West 23rd Street, Guld Coast Regional Medical Center, Panam City, FL 32405 Ph: (850) 767-2220 |
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