Dr Edgar Janetzko, MD is a medicare enrolled "Internal Medicine" physician in Truth Or Consequences, New Mexico. His current practice location is
1960 N Date St, Truth Or Consequences, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 894-7662.
Dr Edgar Janetzko is licensed to practice in New Mexico (license number 96-286) 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 1215999891.
Physician's Profile
Full Name | Dr Edgar Janetzko |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 1960 N Date St, Truth Or Consequences, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215999891
- Provider Enumeration Date: 04/06/2006
- Last Update Date: 08/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 7719017730
- Enrollment ID: I20100617000169
Medical Identifiers
Medical identifiers for Dr Edgar Janetzko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215999891 | NPI | - | NPPES |
1447278-01 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | L1895 (Texas) | Secondary |
207R00000X | Internal Medicine | 96-286 (New Mexico) | 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. Dr Edgar Janetzko allows following entities to bill medicare on his behalf.
Entity Name | Ben Archer Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871528505 PECOS PAC ID: 7517878796 Enrollment ID: O20031120000966 |
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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 Edgar Janetzko 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 Edgar Janetzko, MD Po Box 370, Hatch, NM 87937-0370 Ph: (575) 267-3280 | Dr Edgar Janetzko, MD 1960 N Date St, Truth Or Consequences, NM 87901-3701 Ph: (575) 894-7662 |
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