Raphael E Albert, MD - Medicare Family Medicine in Merrillville, IN

Raphael E Albert, MD is a medicare enrolled "Family Medicine" physician in Merrillville, Indiana. His current practice location is 751 E 81st Ave, Merrillville, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 791-9476.

Raphael E Albert is licensed to practice in Indiana (license number 01030144A) 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 1457414310.

Contact Information

Raphael E Albert, MD
751 E 81st Ave,
Merrillville, IN 46410-5538
(219) 791-9476
(219) 791-9542

Map and Direction




Physician's Profile

Full NameRaphael E Albert
GenderMale
SpecialityFamily Medicine
Location751 E 81st Ave, Merrillville, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457414310
  • Provider Enumeration Date: 12/19/2006
  • Last Update Date: 03/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0749316826
  • Enrollment ID: I20100329000025

Medical Identifiers

Medical identifiers for Raphael E Albert such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457414310NPI-NPPES
00000089302OtherINPROVIDER BCBS NUMBER
080100660OtherINRAILROAD PROVIDER NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01030144A (Indiana)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. Raphael E Albert allows following entities to bill medicare on his behalf.
Entity NameThe Methodist Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720290349
PECOS PAC ID: 9638063894
Enrollment ID: O20040210000526

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. Raphael E Albert 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
Raphael E Albert, MD
751 E 81st Ave,
Merrillville, IN 46410-5538

Ph: (219) 791-9476
Raphael E Albert, MD
751 E 81st Ave,
Merrillville, IN 46410-5538

Ph: (219) 791-9476

Reviews and Comments


Family Medicine Doctors in Merrillville, IN

Johann David Farley, MD
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Phone: 219-649-0044    Fax: 219-649-0055
Dr. Brian H Weiss, MD
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Dr. Oranu G Ibekie, M.D.
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Phone: 219-769-4400    Fax: 219-795-1419
Dr. Syed S Kazmi, MD
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Medicare: Medicare Enrolled
Practice Location: 616 W 81st Ave, Merrillville, IN 46410
Phone: 312-421-1016    
Fadi I Alzeidan, MD
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Practice Location: 7863 Broadway, Merrillville, IN 46410
Phone: 219-769-6639    Fax: 219-769-0636
Jessica Jean Glinski, DNP, FNP-BC
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Medicare: Medicare Enrolled
Practice Location: 5043 E 81st Ave, Merrillville, IN 46410
Phone: 219-707-5276    
Lauren Dandurand, AGACNP-BC
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Medicare: Medicare Enrolled
Practice Location: 200 E 89th Ave Ste 2a, Merrillville, IN 46410
Phone: 219-736-2800    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.