Dr Raffaella Derosa, MD is a medicare enrolled "Urology" physician in Fort Bragg, North Carolina. Her current practice location is
2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 907-8922.
Dr Raffaella Derosa is licensed to practice in North Carolina (license number 306408) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568756351.
Physician's Profile
| Full Name | Dr Raffaella Derosa |
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| Gender | Female |
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| Speciality | Urology |
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| Location | 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568756351
- Provider Enumeration Date: 06/09/2011
- Last Update Date: 02/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547669871
- Enrollment ID: I20220527001026
Medical Identifiers
Medical identifiers for Dr Raffaella Derosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568756351 | NPI | - | NPPES |
| VAD000 | Medicaid | HI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 16588 (Hawaii) | Secondary |
| 208800000X | Urology | 306408 (North Carolina) | Primary |
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 Raffaella Derosa allows following entities to bill medicare on her behalf.
| Entity Name | Scotland Memorial Hospital, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477791507
PECOS PAC ID: 0648208504
Enrollment ID: O20031105000382 |
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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 Raffaella Derosa 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 |
|---|
Dr Raffaella Derosa, MD
2817 Reilly St,
Fort Bragg, NC 28310-5001
Ph: (910) 907-8236 | Dr Raffaella Derosa, MD
2817 Rock Merritt Ave Womack Army Medical Center,
Fort Bragg, NC 28310-5001
Ph: (910) 907-8922 |
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