Royal Haven Medical is a medicare enrolled "Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities" provider in Alvarado, Texas. Their current practice location is
713 Lakeview Dr, Alvarado, Texas. You can reach out to their office (for appointments etc.) via phone at
(903) 833-4534.
Royal Haven Medical is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Royal Haven Medical
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1740895911.
Healthcare Provider's Profile
| Full Name | Royal Haven Medical |
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| Type | Facility |
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| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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| Location | 713 Lakeview Dr, Alvarado, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740895911
- Provider Enumeration Date: 09/14/2020
- Last Update Date: 09/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 4284053026
- Enrollment ID: O20200929001498
Medical Identifiers
Medical identifiers for Royal Haven Medical such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740895911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 320900000X | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Royal Haven Medical acts as a billing entity for following providers:
| Provider Name | Ibidunni Omolayo Ukegbu |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1447213194
PECOS PAC ID: 5991772451
Enrollment ID: I20040914000544 |
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| Provider Name | Ahsan Riaz |
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| Provider Type | Practitioner - General Practice |
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| Provider Identifiers | NPI Number: 1952616187
PECOS PAC ID: 1153518105
Enrollment ID: I20120521000622 |
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| Provider Name | Chris Gerald Ferguson |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1760813547
PECOS PAC ID: 3870884430
Enrollment ID: I20160629001065 |
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| Provider Name | Evbu E Osunde |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1538679147
PECOS PAC ID: 7618235052
Enrollment ID: I20171213000945 |
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| Provider Name | Paidamoyo Yvonne Wagoneka |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1700391257
PECOS PAC ID: 5991069155
Enrollment ID: I20180516001071 |
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| Provider Name | Tolulope Mary Olabintan |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1558686105
PECOS PAC ID: 6103018833
Enrollment ID: I20191023001441 |
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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. Royal Haven Medical 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 |
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Royal Haven Medical
713 Lakeview Dr,
Alvarado, TX 76009-2668
Ph: (903) 833-4534 | Royal Haven Medical
713 Lakeview Dr,
Alvarado, TX 76009-2668
Ph: (903) 833-4534 |
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