Jose Alfredo Rivera Sepulveda, MD in Statesboro, GA

Jose Alfredo Rivera Sepulveda, MD is a medicare enrolled "Internal Medicine" physician in Statesboro, Georgia. His current practice location is 405 S College St, Statesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (478) 621-2072.

Jose Alfredo Rivera Sepulveda is licensed to practice in Georgia (license number 94290) 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 1225590821.

Contact Information

	Jose Alfredo Rivera Sepulveda, MD
	405 S College St, Statesboro, GA 30458-5409
	(478) 621-2072
	Not Available

Map and Direction

Physician's Profile

Full Name	Jose Alfredo Rivera Sepulveda
Gender	Male
Speciality	Internal Medicine
Location	405 S College St, Statesboro, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225590821
Provider Enumeration Date: 04/02/2019
Last Update Date: 12/28/2023

Medicare PECOS Information:

PECOS PAC ID: 4284091927
Enrollment ID: I20230612000635

Medical Identifiers

Medical identifiers for Jose Alfredo Rivera Sepulveda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225590821	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	35269-R (Puerto Rico)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	94290 (Georgia)	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. Jose Alfredo Rivera Sepulveda allows following entities to bill medicare on his behalf.

Entity Name	Community Primary Care Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336492511 PECOS PAC ID: 0648421065 Enrollment ID: O20121113000274

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. Jose Alfredo Rivera Sepulveda 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
Jose Alfredo Rivera Sepulveda, MD Po Box 3594, Mayaguez, PR 00681-3594 Ph: (939) 940-6670	Jose Alfredo Rivera Sepulveda, MD 405 S College St, Statesboro, GA 30458-5409 Ph: (478) 621-2072

Reviews and Comments

Internal Medicine Doctors in Statesboro, GA

Dr. Mark P Crick, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1449 Brampton Ave, Statesboro, GA 30458 Phone: 912-871-2900 Fax: 912-871-2903
Anthony B. Chappell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1076 Bermuda Run Road, Statesboro, GA 30458 Phone: 912-871-7810 Fax: 912-871-7820
Dr. Ajay Jain, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1497 Fair Rd, Suite 305, Statesboro, GA 30458 Phone: 912-681-2273
Wayne Bryan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd Fl 3, Statesboro, GA 30458 Phone: 912-486-1431
Mr. Courage A Atekha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1030 Bermuda Run, Statesboro, GA 30458 Phone: 912-764-8396 Fax: 912-764-7188
Dr. Patrick Dorvilus, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1497 Fair Rd Ste 104, Statesboro, GA 30458 Phone: 912-486-1600 Fax: 912-871-3342
Dr. David R Nabert, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 Grady Johnson Rd, Statesboro, GA 30458 Phone: 912-489-6246 Fax: 912-489-6346

Jose Alfredo Rivera Sepulveda, MD - Medicare Internal Medicine in Statesboro, GA