Dr Marcos Antonio Rivera Roman, MD is a medicare enrolled "General Practice" physician in Lake Mary, Florida. He graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Centerwell Senior Primary Care Fl Jv Pllc and his current practice location is
1330 Bolton Pl, Lake Mary, Florida. You can reach out to his office (for appointments etc.) via phone at
(787) 943-7716.
Dr Marcos Antonio Rivera Roman is licensed to practice in Florida (license number ACN1503) 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 1043956741.
Physician's Profile
| Full Name | Dr Marcos Antonio Rivera Roman |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 11 Years |
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| Location | 1330 Bolton Pl, Lake Mary, Florida |
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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 Marcos Antonio Rivera Roman graduated from medical school in 2015
NPI Data:
- NPI Number: 1043956741
- Provider Enumeration Date: 05/06/2022
- Last Update Date: 10/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204211584
- Enrollment ID: I20230214003433
Medical Identifiers
Medical identifiers for Dr Marcos Antonio Rivera Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043956741 | NPI | - | NPPES |
| 117196700 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | ACN1503 (Florida) | Primary |
| 208D00000X | General Practice | 22914 (Puerto Rico) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centerwell Senior Primary Care Fl Jv Pllc | 5698206167 | 17 |
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 Marcos Antonio Rivera Roman allows following entities to bill medicare on his behalf.
| Entity Name | Centerwell Senior Primary Care Fl Jv Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003643214
PECOS PAC ID: 5698206167
Enrollment ID: O20241008003187 |
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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 Marcos Antonio Rivera Roman 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 Marcos Antonio Rivera Roman, MD
1330 Bolton Pl,
Lake Mary, FL 32746-7665
Ph: (787) 943-7716 | Dr Marcos Antonio Rivera Roman, MD
1330 Bolton Pl,
Lake Mary, FL 32746-7665
Ph: (787) 943-7716 |
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