Wayne Raymond Detorres, MD in Midland Park, NJ

Wayne Raymond Detorres, MD is a medicare enrolled "Urology" physician in Midland Park, New Jersey. He went to Tufts University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Urology. He is a member of the group practice Urology Group Pa and his current practice location is 4 Godwin Avenue, Midland Park, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 444-7070.

Wayne Raymond Detorres is licensed to practice in New Jersey (license number MA70238) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811039357.

Contact Information

	Wayne Raymond Detorres, MD
	4 Godwin Avenue, Midland Park, NJ 07432
	(201) 444-7070
	(201) 444-7228

Map and Direction

Physician's Profile

Full Name	Wayne Raymond Detorres
Gender	Male
Speciality	Urology
Experience	36 Years
Location	4 Godwin Avenue, Midland Park, New Jersey
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Wayne Raymond Detorres attended and graduated from Tufts University School Of Medicine in 1988

NPI Data:

NPI Number: 1811039357
Provider Enumeration Date: 02/13/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8426242603
Enrollment ID: I20101102000053

Medical Identifiers

Medical identifiers for Wayne Raymond Detorres such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811039357	NPI	-	NPPES
8348001	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	MA70238 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Valley Hospital	Ridgewood, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Urology Group Pa	7214908102	7

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. Wayne Raymond Detorres allows following entities to bill medicare on his behalf.

Entity Name	Urology Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427012897 PECOS PAC ID: 7214908102 Enrollment ID: O20040804000458

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. Wayne Raymond Detorres 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
Wayne Raymond Detorres, MD 4 Godwin Avenue, Midland Park, NJ 07432 Ph: (201) 444-7070	Wayne Raymond Detorres, MD 4 Godwin Avenue, Midland Park, NJ 07432 Ph: (201) 444-7070

Reviews and Comments

Urology Doctors in Midland Park, NJ

Saurabh Agarwal, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Godwin Ave, Midland Park, NJ 07432 Phone: 201-444-7070 Fax: 201-444-7228
Victor Hartanto, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Godwin Avenue, Midland Park, NJ 07432 Phone: 201-444-7070 Fax: 201-444-7228
Timothy Joseph Mackey, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Godwin Avenue, Midland Park, NJ 07432 Phone: 201-444-7070 Fax: 201-444-7228
Richard David Baum, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Godwin Avenue, Midland Park, NJ 07432 Phone: 201-444-7070 Fax: 201-444-7228
Howard Lawrence Frey, MD Urology Medicare: Medicare Enrolled Practice Location: 4 Godwin Avenue, Midland Park, NJ 07432 Phone: 201-444-7070 Fax: 201-444-7228

Wayne Raymond Detorres, MD - Medicare Urology in Midland Park, NJ