Dr John Edwin Rivera Jr, MD is a medicare enrolled "Family Medicine" physician in Milldale, Connecticut. He went to Warren Alpert Medical School Of Brown University and graduated in 2001 and has 25 years of diverse experience with area of expertise as Family Practice. His current practice location is
Po Box 770, Milldale, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 621-5554.
Dr John Edwin Rivera Jr is licensed to practice in Connecticut (license number 042567) 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 1720044811.
Physician's Profile
| Full Name | Dr John Edwin Rivera Jr |
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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 | Po Box 770, Milldale, Connecticut |
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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:
- Dr John Edwin Rivera Jr attended and graduated from Warren Alpert Medical School Of Brown University in 2001
NPI Data:
- NPI Number: 1720044811
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 10/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204806193
- Enrollment ID: I20040728000950
Medical Identifiers
Medical identifiers for Dr John Edwin Rivera Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720044811 | NPI | - | NPPES |
| 042567 | Other | CT | STATE MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 042567 (Connecticut) | Primary |
Medical Facilities Affiliation
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 John Edwin Rivera Jr allows following entities to bill medicare on his behalf.
| Entity Name | Northeast Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522 |
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| Entity Name | John E Rivera Jr Md Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902146996
PECOS PAC ID: 2668614918
Enrollment ID: O20130815000604 |
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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. Dr John Edwin Rivera Jr 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 |
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Dr John Edwin Rivera Jr, MD
20 York St, Cb-2041,
New Haven, CT 06504-8900
Ph: (203) 688-4748 | Dr John Edwin Rivera Jr, MD
Po Box 770,
Milldale, CT 06467-0770
Ph: (860) 621-5554 |
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