Eduardo G Rivera, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Madison, Indiana. He went to Indiana University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Madison Dermatology Llc and his current practice location is
122 Demaree Dr, Madison, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 265-9191.
Eduardo G Rivera is licensed to practice in Indiana (license number 01050279) 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 1457428096.
Physician's Profile
| Full Name | Eduardo G Rivera |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 29 Years |
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| Location | 122 Demaree Dr, Madison, Indiana |
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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:
- Eduardo G Rivera attended and graduated from Indiana University School Of Medicine in 1995
NPI Data:
- NPI Number: 1457428096
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 12/18/2009
Medicare PECOS Information:
- PECOS PAC ID: 4789635814
- Enrollment ID: I20050810001232
Medical Identifiers
Medical identifiers for Eduardo G Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457428096 | NPI | - | NPPES |
| 065504 | Other | IN | COLUMBUS SIHO ID |
| 50007573 | Medicaid | KY | |
| 7514003 | Other | IN | AETNA PROVIDER NUMBER |
| 000000368119 | Other | IN | ANTHEM BCBS IN PROV NUMB |
| 20897 | Other | IN | IN HEALTH NETWORK ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 01050279 (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Madison Dermatology Llc | 1153380258 | 3 |
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. Eduardo G Rivera allows following entities to bill medicare on his behalf.
| Entity Name | Madison Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215007455
PECOS PAC ID: 1153380258
Enrollment ID: O20041005000780 |
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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. Eduardo G Rivera 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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Eduardo G Rivera, MD
122 Demaree Dr,
Madison, IN 47250-4622
Ph: (812) 265-9191 | Eduardo G Rivera, MD
122 Demaree Dr,
Madison, IN 47250-4622
Ph: (812) 265-9191 |
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