Edgardo Raul Ortiz Rivera, MD - Medicare Emergency Medicine in Ponce, PR

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Edgardo Raul Ortiz Rivera, MD is a medicare enrolled "Emergency Medicine" physician in Ponce, Puerto Rico. His current practice location is Estancias Del Golf Club Juan H Cintron #345 Ponce Pr, Ponce, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 233-1960.

Edgardo Raul Ortiz Rivera is licensed to practice in Puerto Rico (license number 21613) 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 1558909341.

Contact Information

Edgardo Raul Ortiz Rivera, MD
Estancias Del Golf Club Juan H Cintron #345 Ponce Pr,
Ponce, PR 00730
(787) 233-1960
Not Available

Map and Direction




Physician's Profile

Full NameEdgardo Raul Ortiz Rivera
GenderMale
SpecialityEmergency Medicine
LocationEstancias Del Golf Club Juan H Cintron #345 Ponce Pr, Ponce, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558909341
  • Provider Enumeration Date: 12/12/2019
  • Last Update Date: 12/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9032545033
  • Enrollment ID: I20200211002561

Medical Identifiers

Medical identifiers for Edgardo Raul Ortiz Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558909341NPI-NPPES
410MedicaidPR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 21613 (Puerto Rico)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. Edgardo Raul Ortiz Rivera allows following entities to bill medicare on his behalf.
Entity NameMunicipio De Guayanilla
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902136609
PECOS PAC ID: 7113932328
Enrollment ID: O20100719000895

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. Edgardo Raul Ortiz Rivera 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
Edgardo Raul Ortiz Rivera, MD
Estancias Del Golf Club Juan H Cintron #345,
Ponce, PR 00730

Ph: (787) 233-1960		Edgardo Raul Ortiz Rivera, MD
Estancias Del Golf Club Juan H Cintron #345 Ponce Pr,
Ponce, PR 00730

Ph: (787) 233-1960

Reviews and Comments


Emergency Medicine Doctors in Ponce, PR

Dr. Wilmer Eliezer Morales-hernandez, MD
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Dr. Yiraima E. Medina-blasini, M.D.
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Jose F Battistini, MD
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Ubaldino Ramirez De Arellano-latoni, M.D.
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Phone: 787-843-3031    
Gerald Lee Marin Garcia,
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Practice Location: 4289 Ave Constancia, Ponce, PR 00716
Phone: 787-365-9355    

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).

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