Dr Rima Abraham Defatta, MD is a medicare enrolled "Otolaryngology" physician in Altoona, Wisconsin. She went to Temple University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Defatta Ent And Facial Plastic Surgery Sc and her current practice location is
1490 Rivers Edge Trl, Altoona, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 828-2368.
Dr Rima Abraham Defatta is licensed to practice in Wisconsin (license number 55928-20) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790931707.
Physician's Profile
| Full Name | Dr Rima Abraham Defatta |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Experience | 19 Years |
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| Location | 1490 Rivers Edge Trl, Altoona, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Rima Abraham Defatta attended and graduated from Temple University School Of Medicine in 2005
NPI Data:
- NPI Number: 1790931707
- Provider Enumeration Date: 08/09/2008
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002081908
- Enrollment ID: I20111205000218
Medical Identifiers
Medical identifiers for Dr Rima Abraham Defatta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790931707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 440103 (Pennsylvania) | Secondary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 55928 (Wisconsin) | Secondary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 55928 (Wisconsin) | Secondary |
| 207YX0901X | Otolaryngology - Otology & Neurotology | 55928 (Wisconsin) | Secondary |
| 207Y00000X | Otolaryngology | 55928-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Defatta Ent And Facial Plastic Surgery Sc | 6103059936 | 4 |
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. Dr Rima Abraham Defatta allows following entities to bill medicare on her behalf.
| Entity Name | Defatta Ent & Facial Plastic Surgery Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346664059
PECOS PAC ID: 6103059936
Enrollment ID: O20140502000083 |
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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. Dr Rima Abraham Defatta 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 |
|---|
Dr Rima Abraham Defatta, MD
1490 Rivers Edge Trl,
Altoona, WI 54720-2755
Ph: (715) 828-2368 | Dr Rima Abraham Defatta, MD
1490 Rivers Edge Trl,
Altoona, WI 54720-2755
Ph: (715) 828-2368 |
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