Edgar R Cordivin, MD in Gallup, NM

Edgar R Cordivin, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Gallup, New Mexico. His current practice location is 516 East Nizhoni Blvd., Gallup, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 722-1000.

Edgar R Cordivin is licensed to practice in Arizona (license number 16830) 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 1992760250.

Contact Information

	Edgar R Cordivin, MD
	516 East Nizhoni Blvd., Gallup, NM 87301-1337
	(505) 722-1000
	(505) 722-1192

Map and Direction

Physician's Profile

Full Name	Edgar R Cordivin
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	516 East Nizhoni Blvd., Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992760250
Provider Enumeration Date: 04/19/2006
Last Update Date: 04/09/2014

Medicare PECOS Information:

PECOS PAC ID: 6406947449
Enrollment ID: I20100416000226

Medical Identifiers

Medical identifiers for Edgar R Cordivin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992760250	NPI	-	NPPES
182767	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	16830 (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. Edgar R Cordivin allows following entities to bill medicare on his behalf.

Entity Name	Tuba City Regional Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107

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 R Cordivin 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 R Cordivin, MD 1441 N 12th St, Phoenix, AZ 85006-2837 Ph: () -	Edgar R Cordivin, MD 516 East Nizhoni Blvd., Gallup, NM 87301-1337 Ph: (505) 722-1000

Reviews and Comments

Radiology Doctors in Gallup, NM

Eileen Biunno, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1192
Daniel S Beggs, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1192
Dr. Paul David Ostrovsky, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1162 Fax: 505-722-1192
Jagdish Chabra, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1192
Richard Sorgen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Stephen M Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1192
Pierre Lanthiez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1901 Redrock Dr, Gallup, NM 87301 Phone: 575-532-7000

Edgar R Cordivin, MD - Medicare Radiology in Gallup, NM