Dr Richard Primavera, DPM CWS FACFAOM is a medicare enrolled "Podiatrist" provider in Long Branch, New Jersey. His current practice location is
179 Norwood Ave, Long Branch, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 222-3917.
Dr Richard Primavera is licensed to practice in New Jersey (license number MD01214) 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 1104827914.
Healthcare Provider's Profile
| Full Name | Dr Richard Primavera |
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| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 179 Norwood Ave, Long Branch, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104827914
- Provider Enumeration Date: 08/02/2005
- Last Update Date: 01/31/2011
Medicare PECOS Information:
- PECOS PAC ID: 4082894464
- Enrollment ID: I20110203000117
Medical Identifiers
Medical identifiers for Dr Richard Primavera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104827914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | MD01214 (New Jersey) | Primary |
| 213EP0504X | Podiatrist - Public Medicine | MD01214 (New Jersey) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | MD01214 (New Jersey) | Secondary |
| 213ER0200X | Podiatrist - Radiology | MD01214 (New Jersey) | Secondary |
| 213ES0000X | Podiatrist - Sports Medicine | MD01214 (New Jersey) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | MD01214 (New Jersey) | Secondary |
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. Dr Richard Primavera allows following entities to bill medicare on his behalf.
| Provider Name | Associated Podiatry Group Of Long Branch, Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1699936146
PECOS PAC ID: 3375723752
Enrollment ID: O20110203000067 |
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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. Dr Richard Primavera 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 |
|---|
Dr Richard Primavera, DPM CWS FACFAOM
50 Redwood Dr,
Ocean, NJ 07712-8702
Ph: (732) 610-4885 | Dr Richard Primavera, DPM CWS FACFAOM
179 Norwood Ave,
Long Branch, NJ 07740-5403
Ph: (732) 222-3917 |
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