Dr Ezra Ralph Bobo, MD - Medicare Diagnostic Radiology in Vineland, NJ

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Dr Ezra Ralph Bobo, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Vineland, New Jersey. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Capital Health Multispecialty Group, Pulse Vascular Llc and his current practice location is 994 W Sherman Ave Bldg 2, Vineland, New Jersey. You can reach out to his office (for appointments etc.) via phone at (631) 534-7246.

Dr Ezra Ralph Bobo is licensed to practice in New Jersey (license number 25MA10009300) 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 1710229315.

Contact Information

Dr Ezra Ralph Bobo, MD
994 W Sherman Ave Bldg 2,
Vineland, NJ 08360-6937
(631) 534-7246
(856) 457-5681

Map and Direction




Physician's Profile

Full NameDr Ezra Ralph Bobo
GenderMale
SpecialityDiagnostic Radiology
Experience11 Years
Location994 W Sherman Ave Bldg 2, Vineland, New Jersey
Accepts Medicare AssignmentsYes. 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 Ezra Ralph Bobo graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1710229315
  • Provider Enumeration Date: 03/21/2013
  • Last Update Date: 01/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5193054013
  • Enrollment ID: I20200814002272

Medical Identifiers

Medical identifiers for Dr Ezra Ralph Bobo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710229315NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology MD2019-0581 (New Mexico)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 25MA10009300 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Capital Health Medical Center - HopewellPennington, NJHospital
Capital Health Regional Medical CenterTrenton, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Capital Health Multispecialty Group1850689894233
Pulse Vascular Llc761821936122

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 Ezra Ralph Bobo allows following entities to bill medicare on his behalf.
Entity NameRadiology Affiliates Of Central New Jersey P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811994791
PECOS PAC ID: 1759277239
Enrollment ID: O20040330000560
Entity NameCapital Health Advanced Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144257650
PECOS PAC ID: 4587684311
Enrollment ID: O20051123000065
Entity NameCapital Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437516887
PECOS PAC ID: 7618264532
Enrollment ID: O20160921000449
Entity NameCapital Health Multispecialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083072342
PECOS PAC ID: 1850689894
Enrollment ID: O20161007000162
Entity NamePulse Vascular Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255899704
PECOS PAC ID: 7618219361
Enrollment ID: O20190429000797

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 Ezra Ralph Bobo 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
Dr Ezra Ralph Bobo, MD
76 Park Row,
Lawrence, NY 11559-2524

Ph: () -		Dr Ezra Ralph Bobo, MD
994 W Sherman Ave Bldg 2,
Vineland, NJ 08360-6937

Ph: (631) 534-7246

Reviews and Comments


Radiology Doctors in Vineland, NJ

Michael Spivak, D.O.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360
Phone: 610-459-3113    
Shailendra A Desai, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1450 E Chestnut Ave, Building 4, Suite A, Vineland, NJ 08361
Phone: 856-794-8664    Fax: 856-794-2671
Andrew K Liu, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360
Phone: 856-641-7940    Fax: 856-641-7657
Eric Wydra, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1505 W. Sherman Avenue, Dept Of Radiology, Vineland, NJ 08360
Phone: 856-641-7937    
Ernesto B Go, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1450 E Chestnut Ave, Building 4, Suite A, Vineland, NJ 08361
Phone: 856-794-8664    Fax: 856-794-2671
Steven H Rothfarb, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1450 E Chestnut Ave, Building 4, Suite A, Vineland, NJ 08361
Phone: 856-794-8664    Fax: 856-794-2671
Jacqueline S Gomberg, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360
Phone: 856-641-7940    Fax: 856-641-7657

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.