Raleigh Green Humphries, MD is a
Urology physician based in Coralville, Iowa. Raleigh Green Humphries is licensed to practice in Iowa (license number MD-39882) and his current practice location is 105 E 9th St, Coralville, Iowa. He can be reached at his office (for appointments etc.) via phone at
(319) 467-2000.
NPI number for Raleigh Green Humphries is 1255327565 and his current mailing address is 200 Hawkins Dr, Iowa City, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255327565.
Physician's Profile
| Full Name | Raleigh Green Humphries |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 105 E 9th St, Coralville, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255327565
- Provider Enumeration Date: 09/22/2005
- Last Update Date: 12/14/2020
Medical Identifiers
Medical identifiers for Raleigh Green Humphries such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255327565 | NPI | - | NPPES |
| 8944557 | Medicaid | NC | |
| 44557 | Other | NC | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 32117 (North Carolina) | Secondary |
| 208800000X | Urology | MD-39882 (Iowa) | Primary |
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. Raleigh Green Humphries is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Raleigh Green Humphries, MD
200 Hawkins Dr,
Iowa City, IA 52242-1009
Ph: (319) 467-2000 | Raleigh Green Humphries, MD
105 E 9th St,
Coralville, IA 52241-2209
Ph: (319) 467-2000 |
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