Dr Fred Revoredo, MD - Medicare Family Practice in Paterson, NJ

Dr Fred Revoredo, MD is a medicare enrolled "Family Medicine" physician in Paterson, New Jersey. He went to George Washington University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ezras Choilim Health Center Inc and his current practice location is 425 15th Ave, Paterson, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 345-4155.

Dr Fred Revoredo is licensed to practice in New Jersey (license number 25MA07147400) 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 1669588422.

Contact Information

Dr Fred Revoredo, MD
425 15th Ave,
Paterson, NJ 07504-1811
(973) 345-4155
Not Available

Map and Direction




Physician's Profile

Full NameDr Fred Revoredo
GenderMale
SpecialityFamily Practice
Experience29 Years
Location425 15th Ave, Paterson, 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 Fred Revoredo attended and graduated from George Washington University School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1669588422
  • Provider Enumeration Date: 08/22/2006
  • Last Update Date: 09/09/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3779479480
  • Enrollment ID: I20040227000314

Medical Identifiers

Medical identifiers for Dr Fred Revoredo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669588422NPI-NPPES
8376808MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25MA07147400 (New Jersey)Primary
207P00000XEmergency Medicine 25MA07147400 (New Jersey)Secondary

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 Fred Revoredo allows following entities to bill medicare on his behalf.
Entity NameElite Premier Medical Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609144005
PECOS PAC ID: 3274795463
Enrollment ID: O20120504000300
Entity NameElite Premier Medical Care Plus Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205531688
PECOS PAC ID: 4981067964
Enrollment ID: O20230823002475

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 Fred Revoredo 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 Fred Revoredo, MD
425 15th Avenue,
Paterson, NJ 07504-1811

Ph: (973) 345-4155
Dr Fred Revoredo, MD
425 15th Ave,
Paterson, NJ 07504-1811

Ph: (973) 345-4155

Reviews and Comments


Family Medicine Doctors in Paterson, NJ

Dr. Chandni J Patel, MD
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Practice Location: 703 Main St, Paterson, NJ 07503
Phone: 973-754-2000    
Sohilla Ahmadi, APN
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Practice Location: 991 Main St, Paterson, NJ 07503
Phone: 201-234-7527    
Dr. Jorge L Revoredo, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 425 15th Ave, Paterson, NJ 07504
Phone: 973-345-4024    Fax: 973-345-4156
Dr. Emmanuel Nyaba Yamusah, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 634 Broadway, Paterson, NJ 07514
Phone: 973-279-2616    Fax: 973-279-0399
Dr. Maleeha A Memon, MD
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Practice Location: 703 Main St, Paterson, NJ 07503
Phone: 973-754-2000    
Dr. Ylonka Garcia-marotta, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 363 21st Ave, Paterson, NJ 07501
Phone: 973-881-0007    Fax: 973-881-0049
Emmanuel Amilcar Gachette, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 473 Main St, Paterson, NJ 07501
Phone: 973-707-8243    

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.