Dr Edwin Raphael Guzman, MD - Medicare Obstetrics & Gynecology in Phoenix, AZ

Dr Edwin Raphael Guzman, MD is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in Phoenix, Arizona. His current practice location is 500 W Thomas Rd Ste 700, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 406-7048.

Dr Edwin Raphael Guzman is licensed to practice in Arizona (license number 57123) 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 1154387637.

Contact Information

Dr Edwin Raphael Guzman, MD
500 W Thomas Rd Ste 700,
Phoenix, AZ 85013-4295
(602) 406-7048
(602) 406-7650

Map and Direction




Physician's Profile

Full NameDr Edwin Raphael Guzman
GenderMale
SpecialityObstetrics & Gynecology - Maternal & Fetal Medicine
Location500 W Thomas Rd Ste 700, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154387637
  • Provider Enumeration Date: 04/25/2006
  • Last Update Date: 07/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6406843267
  • Enrollment ID: I20040426001317

Medical Identifiers

Medical identifiers for Dr Edwin Raphael Guzman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154387637NPI-NPPES
0992500MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine 150128 (New York)Secondary
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine MA53823 (New Jersey)Secondary
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine 57123 (Arizona)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 Edwin Raphael Guzman allows following entities to bill medicare on his behalf.
Entity NameSaint Peters University Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114924834
PECOS PAC ID: 9931012382
Enrollment ID: O20040112000043
Entity NameMaternal Fetal Medicine Of Practice Associates, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578613840
PECOS PAC ID: 6608813860
Enrollment ID: O20050411000235

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 Edwin Raphael Guzman 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
Dr Edwin Raphael Guzman, MD
3030 N Central Ave Ste 1001,
Phoenix, AZ 85012-2716

Ph: (602) 406-4786
Dr Edwin Raphael Guzman, MD
500 W Thomas Rd Ste 700,
Phoenix, AZ 85013-4295

Ph: (602) 406-7048

Reviews and Comments


Obstetrics & Gynecology Doctors in Phoenix, AZ

Mr. Memie Clifton Burton, MD.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 4212 N 16th Street, Phoenix, AZ 85016
Phone: 602-263-1511    Fax: 602-263-1637
Karen Christine Adams, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4212 N 16th St, Phoenix, AZ 85016
Phone: 602-263-1511    Fax: 602-263-1619
Dr. Jose Gomez Cisneros, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3140 N 35th Ave Ste 7, Phoenix, AZ 85017
Phone: 602-353-6656    Fax: 602-442-2065
Dr. Joel Barkley, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008
Phone: 602-344-5011    
Dr. Robert Stuart Fowler, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054
Phone: 480-301-8000    
Mark D Johnson, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1701 E Thomas Rd, Building 1 Suite 101, Phoenix, AZ 85016
Phone: 602-343-2767    Fax: 602-343-2766
Jill D Gibson, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014
Phone: 602-265-9161    Fax: 602-265-1823

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.