Roger Rivera Patricio Jr, is a medicare enrolled "Nurse Practitioner" physician in Las Vegas, Nevada. His current practice location is
6276 S Rainbow Blvd Ste 100, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at
(702) 396-4165.
Roger Rivera Patricio Jr is licensed to practice in Nevada (license number APRN002758) 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 1366957425.
Physician's Profile
| Full Name | Roger Rivera Patricio Jr |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 6276 S Rainbow Blvd Ste 100, Las Vegas, Nevada |
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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: 1366957425
- Provider Enumeration Date: 12/11/2017
- Last Update Date: 10/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 7012276231
- Enrollment ID: I20180116002554
Medical Identifiers
Medical identifiers for Roger Rivera Patricio Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366957425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RI0200X | Internal Medicine - Infectious Disease | APRN002758 (Nevada) | Secondary |
| 363L00000X | Nurse Practitioner | APRN002758 (Nevada) | 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. Roger Rivera Patricio Jr allows following entities to bill medicare on his behalf.
| Entity Name | Farzin Farhang Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467765024
PECOS PAC ID: 3476742271
Enrollment ID: O20110110000611 |
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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. Roger Rivera Patricio 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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Roger Rivera Patricio Jr,
5479 Atrium Woods Ln,
Las Vegas, NV 89135-1218
Ph: (702) 767-6374 | Roger Rivera Patricio Jr,
6276 S Rainbow Blvd Ste 100,
Las Vegas, NV 89118-3243
Ph: (702) 396-4165 |
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