Edgar Carmen Stambuk, MD in Fullerton, CA

Edgar Carmen Stambuk, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fullerton, California. His current practice location is 101 East Valencia Mesa Drive, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (714) 992-3978.

Edgar Carmen Stambuk is licensed to practice in California (license number G43422) 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 1194808295.

Contact Information

	Edgar Carmen Stambuk, MD
	101 East Valencia Mesa Drive, Fullerton, CA 92835
	(714) 992-3978
	Not Available

Map and Direction

Physician's Profile

Full Name	Edgar Carmen Stambuk
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	101 East Valencia Mesa Drive, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194808295
Provider Enumeration Date: 10/23/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8820984289
Enrollment ID: I20050730000198

Medical Identifiers

Medical identifiers for Edgar Carmen Stambuk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194808295	NPI	-	NPPES
RHL121404	Other	CA	DEPT OF HEALTH SERVICES
00G434220	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	G43422 (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. Edgar Carmen Stambuk allows following entities to bill medicare on his behalf.

Entity Name	St Jude Radiology Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649349705 PECOS PAC ID: 7214838002 Enrollment ID: O20040115000501

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. Edgar Carmen Stambuk 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
Edgar Carmen Stambuk, MD Po Box 4505, Woodland Hills, CA 91365-4505 Ph: (818) 597-3800	Edgar Carmen Stambuk, MD 101 East Valencia Mesa Drive, Fullerton, CA 92835 Ph: (714) 992-3978

Reviews and Comments

Radiology Doctors in Fullerton, CA

Maren Radcliffe Ross Sowerby, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978
Hao Quy Ngo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978
Phillip Unger, MD Radiology Medicare: Medicare Enrolled Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-992-3978
Bradley A Jackson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-992-3978
Alan M Cohen, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 515 E Commonwealth Ave, Fullerton, CA 92832 Phone: 714-871-7118 Fax: 714-871-3372
Samuel Lowry Maxwell Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978

Edgar Carmen Stambuk, MD - Medicare Radiology in Fullerton, CA