Roger Rivera Patricio Jr, - Medicare Nurse Practitioner in Las Vegas, NV

Roger Rivera Patricio Jr, is a medicare enrolled "Nurse Practitioner" physician in Las Vegas, Nevada. His current practice location is 6276 S Rainbow Blvd Ste 100, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 396-4165.

Roger Rivera Patricio Jr is licensed to practice in Nevada (license number APRN002758) 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 1366957425.

Contact Information

Roger Rivera Patricio Jr,
6276 S Rainbow Blvd Ste 100,
Las Vegas, NV 89118-3243
(702) 396-4165
(702) 252-4405



Physician's Profile

Full NameRoger Rivera Patricio Jr
GenderMale
SpecialityNurse Practitioner
Location6276 S Rainbow Blvd Ste 100, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366957425
  • Provider Enumeration Date: 12/11/2017
  • Last Update Date: 10/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7012276231
  • Enrollment ID: I20180116002554

Medical Identifiers

Medical identifiers for Roger Rivera Patricio Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366957425NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease APRN002758 (Nevada)Secondary
363L00000XNurse Practitioner APRN002758 (Nevada)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. Roger Rivera Patricio Jr allows following entities to bill medicare on his behalf.
Entity NameFarzin Farhangnejad M.d. Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467765024
PECOS PAC ID: 3476742271
Enrollment ID: O20110110000611

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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. Roger Rivera Patricio Jr 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
Roger Rivera Patricio Jr,
5479 Atrium Woods Ln,
Las Vegas, NV 89135-1218

Ph: (702) 767-6374
Roger Rivera Patricio Jr,
6276 S Rainbow Blvd Ste 100,
Las Vegas, NV 89118-3243

Ph: (702) 396-4165

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