Rita Maria Medrano Juarez, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Providence, Rhode Island. Her current practice location is
593 Eddy Street, Aldrich Building Room 126, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 444-4000.
Rita Maria Medrano Juarez is licensed to practice in Rhode Island (license number LP06517) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396266656.
Physician's Profile
Full Name | Rita Maria Medrano Juarez |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 593 Eddy Street, Providence, Rhode Island |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396266656
- Provider Enumeration Date: 06/27/2017
- Last Update Date: 06/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 0143591875
- Enrollment ID: I20240808002034
Medical Identifiers
Medical identifiers for Rita Maria Medrano Juarez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396266656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 2020038090 (Missouri) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | BP10059585 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | LP06517 (Rhode Island) | 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. Rita Maria Medrano Juarez allows following entities to bill medicare on her behalf.
Entity Name | Skaggs Community Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255870853 PECOS PAC ID: 5092624320 Enrollment ID: O20170310001975 |
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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. Rita Maria Medrano Juarez 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 |
Rita Maria Medrano Juarez, MD 593 Eddy Street, Aldrich Building Room 126, Providence, RI 02903 Ph: (401) 444-8450 | Rita Maria Medrano Juarez, MD 593 Eddy Street, Aldrich Building Room 126, Providence, RI 02903 Ph: (401) 444-4000 |
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