Dr Estevan Adan Garcia, MD - Medicare Pediatrics in Worcester, MA

Dr Estevan Adan Garcia, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Worcester, Massachusetts. His current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 421-1600.

Dr Estevan Adan Garcia is licensed to practice in Massachusetts (license number 270364) 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 1255415709.

Contact Information

Dr Estevan Adan Garcia, MD
55 Lake Ave N,
Worcester, MA 01655-0002
(508) 421-1600
(774) 442-2510

Map and Direction




Physician's Profile

Full NameDr Estevan Adan Garcia
GenderMale
SpecialityPediatrics - Pediatric Emergency Medicine
Location55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255415709
  • Provider Enumeration Date: 10/24/2006
  • Last Update Date: 08/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9931006871
  • Enrollment ID: I20040805001578

Medical Identifiers

Medical identifiers for Dr Estevan Adan Garcia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255415709NPI-NPPES
110130064AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PP0204XEmergency Medicine - Pediatric Emergency Medicine 232163 (New York)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine 25681 (New Hampshire)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine 270364 (Massachusetts)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 Estevan Adan Garcia allows following entities to bill medicare on his behalf.
Entity NameBrookdale Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720028772
PECOS PAC ID: 4284545799
Enrollment ID: O20031120000600
Entity NameMaimonides Medical Center - Mmc Emergency Physicians Fpp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982708202
PECOS PAC ID: 3678472917
Enrollment ID: O20040106000161
Entity NameNes Medical Services Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215455191
PECOS PAC ID: 0840181392
Enrollment ID: O20040323001392

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 Estevan Adan Garcia 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 Estevan Adan Garcia, MD
Po Box 415348,
Boston, MA 02241-5348

Ph: (800) 225-8885
Dr Estevan Adan Garcia, MD
55 Lake Ave N,
Worcester, MA 01655-0002

Ph: (508) 421-1600

Reviews and Comments


Pediatrics Doctors in Worcester, MA

Marissa E Parrillo, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 774-442-5545    Fax: 774-443-7042
Dr. Penny M. Feldman, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 774-441-8081    Fax: 774-441-8055
Dr. Linda D Sagor, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655
Phone: 508-856-4198    Fax: 508-856-1042
Dr. Robert W Zavoski, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 26 Queen Street, Worcester, MA 01610
Phone: 508-860-7800    Fax: 508-860-7925
Cornelius T Tyrrell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655
Phone: 508-334-7986    Fax: 508-334-7989
Callie M Stone, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-1000    
Nura El-haj, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 774-441-8083    Fax: 774-441-8057

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.