Dr Edward Matthew Degerman, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Porter Ranch, California. His current practice location is
19950 Rinaldi St, Porter Ranch, California. You can reach out to his office (for appointments etc.) via phone at
(818) 403-2400.
Dr Edward Matthew Degerman is licensed to practice in California (license number A179721) 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 1598293235.
Physician's Profile
| Full Name | Dr Edward Matthew Degerman |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 19950 Rinaldi St, Porter Ranch, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598293235
- Provider Enumeration Date: 05/25/2017
- Last Update Date: 12/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597009019
- Enrollment ID: I20220901000434
Medical Identifiers
Medical identifiers for Dr Edward Matthew Degerman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598293235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | A179721 (California) | 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 Edward Matthew Degerman allows following entities to bill medicare on his behalf.
| Entity Name | Providence Facey Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710031588
PECOS PAC ID: 3173436276
Enrollment ID: O20031105000822 |
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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 Edward Matthew Degerman 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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Dr Edward Matthew Degerman, MD
19950 Rinaldi St,
Porter Ranch, CA 91326-4141
Ph: (818) 403-2400 | Dr Edward Matthew Degerman, MD
19950 Rinaldi St,
Porter Ranch, CA 91326-4141
Ph: (818) 403-2400 |
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