Richard Pretorius, MD, MPH - Medicare Emergency Medicine in Irving, NY

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Richard Pretorius, MD, MPH is a medicare enrolled "Family Medicine" physician in Irving, New York. He went to University Of Virginia School Of Medicine and graduated in 1986 and has 39 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Perham Hospital District, Stevens Community Medical Center Inc, Glacial Ridge Hospital District and his current practice location is 845 Routes 5 & 20, Irving, New York. You can reach out to his office (for appointments etc.) via phone at (716) 951-7273.

Richard Pretorius is licensed to practice in Ohio (license number 35-057683) 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 1013900505.

Contact Information

Richard Pretorius, MD, MPH
845 Routes 5 & 20,
Irving, NY 14081-9706
(716) 951-7273
Not Available

Map and Direction




Physician's Profile

Full NameRichard Pretorius
GenderMale
SpecialityEmergency Medicine
Experience39 Years
Location845 Routes 5 & 20, Irving, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Richard Pretorius attended and graduated from University Of Virginia School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1013900505
  • Provider Enumeration Date: 08/30/2005
  • Last Update Date: 11/18/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4688561517
  • Enrollment ID: I20150515000330

Medical Identifiers

Medical identifiers for Richard Pretorius such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013900505NPI-NPPES
02560378MedicaidNY
3120563MedicaidOH
7100319390MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 46970 (Kentucky)Secondary
207Q00000XFamily Medicine 35-057683 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Stevens Community Medical CenterMorris, MNHospital
St Francis Medical CenterBreckenridge, MNHospital
Perham HealthPerham, MNHospital
Loring HospitalSac city, IAHospital
Pocahontas Community HospitalPocahontas, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Perham Hospital District226432776638
Stevens Community Medical Center Inc367847585245
Glacial Ridge Hospital District529478919449

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. Richard Pretorius allows following entities to bill medicare on his behalf.
Entity NameCcm Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720086028
PECOS PAC ID: 4284539453
Enrollment ID: O20031201000642
Entity NameStevens Community Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417105552
PECOS PAC ID: 3678475852
Enrollment ID: O20040127000493
Entity NameAstera Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134305162
PECOS PAC ID: 2961395272
Enrollment ID: O20040202001082
Entity NamePerham Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932113768
PECOS PAC ID: 2264327766
Enrollment ID: O20040216000182
Entity NameSt Francis Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891954574
PECOS PAC ID: 8123937992
Enrollment ID: O20040429000995
Entity NameSwift County-benson Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174529002
PECOS PAC ID: 8729069281
Enrollment ID: O20040528001145
Entity NameGlacial Ridge Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255348223
PECOS PAC ID: 5294789194
Enrollment ID: O20050719000315
Entity NameAstera Health
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1477545333
PECOS PAC ID: 2961395272
Enrollment ID: O20060504000722
Entity NameGlacial Ridge Hospital District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1538178520
PECOS PAC ID: 5294789194
Enrollment ID: O20061104000464
Entity NameInternational Falls Memorial Hospital Association
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1528041183
PECOS PAC ID: 1951365998
Enrollment ID: O20061104000465
Entity NameSt Francis Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1639162381
PECOS PAC ID: 8123937992
Enrollment ID: O20080303000129
Entity NameSanford Health Network North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386047355
PECOS PAC ID: 8022206663
Enrollment ID: O20180205002429

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. Richard Pretorius 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
Richard Pretorius, MD, MPH
845 Routes 5 & 20,
Irving, NY 14081-9706

Ph: (716) 951-7273		Richard Pretorius, MD, MPH
845 Routes 5 & 20,
Irving, NY 14081-9706

Ph: (716) 951-7273

Reviews and Comments


Family Medicine Doctors in Irving, NY

Nisha Sharma, MD
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Practice Location: 12657 Seneca Rd, Irving, NY 14081
Phone: 716-934-4400    Fax: 716-934-3323

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.