Marino D Tavarez, MD, is a medicare enrolled "Family Medicine" physician in Lyons, New York. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Rochester General Hospital and his current practice location is
12 Leach Rd, Lyons Health Center, Lyons, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 946-6075.
Marino D Tavarez is licensed to practice in New York (license number 232852) 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 1518049865.
Physician's Profile
| Full Name | Marino D Tavarez |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 25 Years |
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| Location | 12 Leach Rd, Lyons, New York |
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| Accepts Medicare Assignments | Yes. He 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:
- Marino D Tavarez graduated from medical school in 1999
NPI Data:
- NPI Number: 1518049865
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 01/05/2015
Medicare PECOS Information:
- PECOS PAC ID: 9931115193
- Enrollment ID: I20060224000276
Medical Identifiers
Medical identifiers for Marino D Tavarez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518049865 | NPI | - | NPPES |
| 02868248 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 232852 (New York) | Primary |
| 207Q00000X | Family Medicine | MD441558 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 12860 (Hawaii) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 232852 (New York) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | MD441558 (Pennsylvania) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 12860 (Hawaii) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rochester General Hospital | 0244149474 | 891 |
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. Marino D Tavarez allows following entities to bill medicare on his behalf.
| Entity Name | Rochester General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356412712
PECOS PAC ID: 0244149474
Enrollment ID: O20031121000644 |
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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. Marino D Tavarez 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 |
|---|
Marino D Tavarez, MD,
12 Leach Rd, Lyons Health Center,
Lyons, NY 14489-9732
Ph: (315) 946-6075 | Marino D Tavarez, MD,
12 Leach Rd, Lyons Health Center,
Lyons, NY 14489-9732
Ph: (315) 946-6075 |
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