Dr Eric Robert Requa, DO in Marlton, NJ - Medicare Family Practice

Dr Eric Robert Requa, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Marlton, New Jersey. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2012 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Virtua Medical Group, Pa and his current practice location is 1001 Route 73 N Lowr Level, Marlton, New Jersey. You can reach out to his office (for appointments etc.) via phone at (844) 908-5483.

Dr Eric Robert Requa is licensed to practice in New Jersey (license number 25MB09913200) 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 1164788501.

Contact Information

	Dr Eric Robert Requa, DO
	1001 Route 73 N Lowr Level, Marlton, NJ 08053-4524
	(844) 908-5483
	(856) 355-7106

Map and Direction

Physician's Profile

Full Name	Dr Eric Robert Requa
Gender	Male
Speciality	Family Practice
Experience	14 Years
Location	1001 Route 73 N Lowr Level, Marlton, 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:

Dr Eric Robert Requa attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2012

NPI Data:

NPI Number: 1164788501
Provider Enumeration Date: 04/10/2012
Last Update Date: 10/15/2020

Medicare PECOS Information:

PECOS PAC ID: 5890008254
Enrollment ID: I20170406001859

Medical Identifiers

Medical identifiers for Dr Eric Robert Requa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164788501	NPI	-	NPPES
103025113	Medicaid	PA
103056183	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OS017463 (Pennsylvania)	Secondary
207QS0010X	Family Medicine - Sports Medicine	25MB09913200 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Virtua West Jersey Hospitals	Voorhees, NJ	Hospital
Virtua Our Lady Of Lourdes Hospital	Camden, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Virtua Medical Group, Pa	9830222397	1498

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 Eric Robert Requa allows following entities to bill medicare on his behalf.

Entity Name	Virtua Medical Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338

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 Eric Robert Requa 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 Eric Robert Requa, DO 2000 Crawford Pl Ste 200, Mount Laurel, NJ 08054-3954 Ph: (856) 355-0340	Dr Eric Robert Requa, DO 1001 Route 73 N Lowr Level, Marlton, NJ 08053-4524 Ph: (844) 908-5483

Reviews and Comments

Family Medicine Doctors in Marlton, NJ

Dr. Michael John Voyack, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1001 Lincoln Dr W Ste F, Marlton, NJ 08053 Phone: 856-810-1800 Fax: 856-810-1879
Daniel Shor, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Route 73 N Ste 117, Marlton, NJ 08053 Phone: 609-316-7666 Fax: 609-451-0873
Dr. Sham Rustom Bajina, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 765 Route 70 East, Cfg Health Systems Llc Bldg A Suite 101, Marlton, NJ 08053 Phone: 856-983-3900 Fax: 856-810-0169
Dr. Philip Getson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Brick Rd, Suite 206, Marlton, NJ 08053 Phone: 856-983-7246 Fax: 856-983-0908
Antonette Marie Soriano-hoti, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 East Route 70, Suite E Front, Marlton, NJ 08053 Phone: 856-985-7373
Mitesh Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 999 Route 73 N Ste 401, Marlton, NJ 08053 Phone: 800-321-9999 Fax: 267-479-1321
Catharine C Mayer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Route 73 S Ste 303, Marlton, NJ 08053 Phone: 856-596-0555

Dr Eric Robert Requa, DO - Medicare Family Practice in Marlton, NJ