Raymond Charles Decesare Sr, DO in Portland, PA - Medicare Family Medicine

Raymond Charles Decesare Sr, DO is a medicare enrolled "Family Medicine" physician in Portland, Pennsylvania. His current practice location is 716 Delaware Avenue, Portland, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 897-6272.

Raymond Charles Decesare Sr is licensed to practice in Pennsylvania (license number OS002690L) 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 1841388485.

Contact Information

	Raymond Charles Decesare Sr, DO
	716 Delaware Avenue, Portland, PA 18351-0358
	(570) 897-6272
	(570) 839-0893

Physician's Profile

Full Name	Raymond Charles Decesare Sr
Gender	Male
Speciality	Family Medicine
Location	716 Delaware Avenue, Portland, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841388485
Provider Enumeration Date: 10/10/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2264595313
Enrollment ID: I20090115000250

Medical Identifiers

Medical identifiers for Raymond Charles Decesare Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841388485	NPI	-	NPPES
DE041920	Other	PA	BLUE SHIELD/BLUE CROSS
503825	Other	PA	US HEALTHCARE/AETNA
14843	Other	PA	GEISENGERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OS002690L (Pennsylvania)	Primary

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. Raymond Charles Decesare Sr 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
Raymond Charles Decesare Sr, DO 206 E Brown St, East Stroudsburg, PA 18301-3006 Ph: (570) 897-6272	Raymond Charles Decesare Sr, DO 716 Delaware Avenue, Portland, PA 18351-0358 Ph: (570) 897-6272

News Archive

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Raymond Charles Decesare Sr, DO - Medicare Family Medicine in Portland, PA