Shelly Rivas, MD - Medicare Dermatology in Vestal, NY

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Shelly Rivas, MD is a medicare enrolled "Dermatology" physician in Vestal, New York. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Our Lady Of Lourdes Memorial Hospital Inc and her current practice location is 3101 Shippers Rd Ste 102, Vestal, New York. You can reach out to her office (for appointments etc.) via phone at (607) 251-2100.

Shelly Rivas is licensed to practice in New York (license number 282663) 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 1477999886.

Contact Information

Shelly Rivas, MD
3101 Shippers Rd Ste 102,
Vestal, NY 13850-2081
(607) 251-2100
Not Available

Map and Direction




Physician's Profile

Full NameShelly Rivas
GenderFemale
SpecialityDermatology
Experience11 Years
Location3101 Shippers Rd Ste 102, Vestal, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shelly Rivas graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1477999886
  • Provider Enumeration Date: 05/13/2013
  • Last Update Date: 03/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062774490
  • Enrollment ID: I20180324000080

Medical Identifiers

Medical identifiers for Shelly Rivas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477999886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 282663 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lourdes HospitalBinghamton, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Our Lady Of Lourdes Memorial Hospital Inc1254237779223

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. Shelly Rivas allows following entities to bill medicare on her behalf.
Entity NameOur Lady Of Lourdes Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629087580
PECOS PAC ID: 1254237779
Enrollment ID: O20031208000366
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487016507
PECOS PAC ID: 6709174493
Enrollment ID: O20161012002352

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. Shelly Rivas 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 AddressPractice Location Address
Shelly Rivas, MD
50 Front St Apt 323,
Binghamton, NY 13905-4740

Ph: (917) 292-9316		Shelly Rivas, MD
3101 Shippers Rd Ste 102,
Vestal, NY 13850-2081

Ph: (607) 251-2100

Reviews and Comments


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Ayyaz M Shah, DO
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Dr. Uzoma Oranu, M.D.
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Dr. Genadij Sienkiewicz, M.D.
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Dr. Joseph M Newmark, M.D.
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Practice Location: 4104 Vestal Rd, Vestal Executive Park Suite 203, Vestal, NY 13850
Phone: 607-797-9036    Fax: 607-798-0601

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.