Raleigh Green Humphries, MD - Medicare Urology in Coralville, IA

Raleigh Green Humphries, MD is a medicare enrolled "Urology" physician in Coralville, Iowa. His current practice location is 105 E 9th St, Coralville, Iowa. You can reach out to his office (for appointments etc.) via phone at (319) 467-2000.

Raleigh Green Humphries is licensed to practice in Iowa (license number MD-39882) 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 1255327565.

Contact Information

Raleigh Green Humphries, MD
105 E 9th St,
Coralville, IA 52241-2209
(319) 467-2000
Not Available



Physician's Profile

Full NameRaleigh Green Humphries
GenderMale
SpecialityUrology
Location105 E 9th St, Coralville, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255327565
  • Provider Enumeration Date: 09/22/2005
  • Last Update Date: 12/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5799784732
  • Enrollment ID: I20140408000457

Medical Identifiers

Medical identifiers for Raleigh Green Humphries such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255327565NPI-NPPES
8944557MedicaidNC
44557OtherNCBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 32117 (North Carolina)Secondary
208800000XUrology MD-39882 (Iowa)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. Raleigh Green Humphries allows following entities to bill medicare on his behalf.
Entity NameUrology Clinic Of Winchester, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831290451
PECOS PAC ID: 6507843398
Enrollment ID: O20040630000346

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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. Raleigh Green Humphries 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
Raleigh Green Humphries, MD
200 Hawkins Dr,
Iowa City, IA 52242-1009

Ph: (319) 467-2000
Raleigh Green Humphries, MD
105 E 9th St,
Coralville, IA 52241-2209

Ph: (319) 467-2000

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Urology Doctors in Coralville, IA


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