Dr Ruperto Castaneda Vallarta Jr, MD - Medicare Pediatrics in Lewistown, PA

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Dr Ruperto Castaneda Vallarta Jr, MD is a medicare enrolled "Pediatrics" physician in Lewistown, Pennsylvania. His current practice location is 400 Highland Ave, Lewistown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 242-4254.

Dr Ruperto Castaneda Vallarta Jr is licensed to practice in Pennsylvania (license number MD494859) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750674412.

Contact Information

Dr Ruperto Castaneda Vallarta Jr, MD
400 Highland Ave,
Lewistown, PA 17044-1167
(717) 242-4254
(717) 242-4234

Map and Direction




Physician's Profile

Full NameDr Ruperto Castaneda Vallarta Jr
GenderMale
SpecialityPediatrics
Location400 Highland Ave, Lewistown, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750674412
  • Provider Enumeration Date: 05/26/2011
  • Last Update Date: 07/10/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6204005127
  • Enrollment ID: I20190424001224

Medical Identifiers

Medical identifiers for Dr Ruperto Castaneda Vallarta Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750674412NPI-NPPES
003642900MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD494859 (Pennsylvania)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 Ruperto Castaneda Vallarta Jr allows following entities to bill medicare on his behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298
Entity NamePrivia Care Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164874426
PECOS PAC ID: 3274801139
Enrollment ID: O20170616001775

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 Ruperto Castaneda Vallarta 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 AddressPractice Location Address
Dr Ruperto Castaneda Vallarta Jr, MD
100 N Academy Ave,
Danville, PA 17822-4903

Ph: (717) 242-4254		Dr Ruperto Castaneda Vallarta Jr, MD
400 Highland Ave,
Lewistown, PA 17044-1167

Ph: (717) 242-4254

Reviews and Comments


Pediatrics Doctors in Lewistown, PA

Dr. Christopher Paul Severs, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 21 Geisinger Ln, Lewistown, PA 17044
Phone: 717-242-4200    Fax: 717-242-4212
Dr. Ismail O. Dedeoglu, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 21 Geisinger Ln, Lewistown, PA 17044
Phone: 717-242-4200    Fax: 717-242-4212
Michaela Renee Wagner, DO
Pediatrics
Medicare: May Accept Medicare Assignments
Practice Location: 21 Geisinger Ln, Lewistown, PA 17044
Phone: 717-242-4200    Fax: 717-242-4237
Hema R. Murali, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 400 Highland Ave, Lewistown, PA 17044
Phone: 717-248-5411    Fax: 717-242-4212
Joseph Romeo, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 21 Geisinger Ln, Lewistown, PA 17044
Phone: 717-242-4291    
Dr. Paul Mathew Brahmakulam, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 130 Highland Ave, Lewistown, PA 17044
Phone: 717-242-1174    Fax: 717-242-3849

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).

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