Richard J Krottmayer Jr, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Murrieta, California. His current practice location is
41679 Date St Ste 102, Murrieta, California. You can reach out to his office (for appointments etc.) via phone at
(951) 206-6331.
Richard J Krottmayer Jr is licensed to practice in California (license number 301939) 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 1386386266.
Physician's Profile
| Full Name | Richard J Krottmayer Jr |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 41679 Date St Ste 102, Murrieta, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386386266
- Provider Enumeration Date: 04/11/2022
- Last Update Date: 09/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567859739
- Enrollment ID: I20220419001002
Medical Identifiers
Medical identifiers for Richard J Krottmayer Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386386266 | NPI | - | NPPES |
| 301939 | Other | CA | PHYSICAL THERAPY LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 301939 (California) | 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. Richard J Krottmayer Jr allows following entities to bill medicare on his behalf.
| Entity Name | West Coast Spine Restoration Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992887616
PECOS PAC ID: 7214824648
Enrollment ID: O20040301001265 |
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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. Richard J Krottmayer Jr 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 |
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Richard J Krottmayer Jr,
25311 Robinson Creek Ln,
Menifee, CA 92584-8436
Ph: (951) 206-6331 | Richard J Krottmayer Jr,
41679 Date St Ste 102,
Murrieta, CA 92562-7045
Ph: (951) 206-6331 |
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