Dr Joseph Raphael Ablaza, MD - Medicare Hospitalist in Dover, DE

Dr Joseph Raphael Ablaza, MD is a medicare enrolled "Internal Medicine" physician in Dover, Delaware. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Apogee Medical Group Delaware Inc and his current practice location is 640 S State St, Dover, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 744-7581.

Dr Joseph Raphael Ablaza is licensed to practice in Delaware (license number C1-0013518) 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 1366892291.

Contact Information

Dr Joseph Raphael Ablaza, MD
640 S State St,
Dover, DE 19901-3530
(302) 744-7581
(302) 744-7332

Map and Direction




Physician's Profile

Full NameDr Joseph Raphael Ablaza
GenderMale
SpecialityHospitalist
Experience9 Years
Location640 S State St, Dover, Delaware
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 Joseph Raphael Ablaza graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1366892291
  • Provider Enumeration Date: 06/22/2016
  • Last Update Date: 07/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7113211046
  • Enrollment ID: I20200728000083

Medical Identifiers

Medical identifiers for Dr Joseph Raphael Ablaza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366892291NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine C1-0013518 (Delaware)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bayhealth Hospital, Kent CampusDover, DEHospital
Bayhealth Hospital, Sussex CampusMilford, DEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Apogee Medical Group Delaware Inc963831257281

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 Joseph Raphael Ablaza allows following entities to bill medicare on his behalf.
Entity NameApogee Medical Group Delaware Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326485285
PECOS PAC ID: 9638312572
Enrollment ID: O20130826000448
Entity NameBayhealth Medical Center, Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1023006434
PECOS PAC ID: 1658364740
Enrollment ID: O20160527000094
Entity NameBayhealth Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679072144
PECOS PAC ID: 1658364740
Enrollment ID: O20180411000470

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 Joseph Raphael Ablaza 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 Joseph Raphael Ablaza, MD
640 S. State Street, Mail Code 1109,
Dover, DE 19901-3530

Ph: (302) 744-7581
Dr Joseph Raphael Ablaza, MD
640 S State St,
Dover, DE 19901-3530

Ph: (302) 744-7581

Reviews and Comments


Internal Medicine Doctors in Dover, DE

Theodore Conrad Ang Tan, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 810 New Burton Rd, Suite 3, Dover, DE 19904
Phone: 302-730-0554    Fax: 302-730-1175
Francis Lim, MD
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Practice Location: 640 S State St, Dover, DE 19901
Phone: 419-276-1194    
Safwan Muhammad, MD
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Practice Location: 640 S State St, Dover, DE 19901
Phone: 879-022-5410    
Dr. Wai Wai Lin, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1058 S Governors Ave Ste 101, Dover, DE 19904
Phone: 302-401-1500    Fax: 302-672-6450
Abdul Muhaymin Siyal, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 720 S Queen St, Dover, DE 19904
Phone: 302-734-7834    Fax: 302-734-7847
Dr. Daniel L. Fisher, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 333 Red Tail Dr, Dover, DE 19904
Phone: 302-943-8040    
Dr. Manmeet Brar, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1198 S Governors Ave Ste B100, Dover, DE 19904
Phone: 302-734-3227    Fax: 302-734-0391

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.