Edison Jose Cano Cevallos, MD in Hollywood, FL

Edison Jose Cano Cevallos, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Hollywood, Florida. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Infectious Disease. He is a member of the group practice South Broward Hospital District and his current practice location is 5647 Hollywood Blvd, Hollywood, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 276-1616.

Edison Jose Cano Cevallos is licensed to practice in Florida (license number ME151652) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982080339.

Contact Information

	Edison Jose Cano Cevallos, MD
	5647 Hollywood Blvd, Hollywood, FL 33021-6325
	(954) 276-1616
	(954) 276-0186

Map and Direction

Physician's Profile

Full Name	Edison Jose Cano Cevallos
Gender	Male
Speciality	Infectious Disease
Experience	11 Years
Location	5647 Hollywood Blvd, Hollywood, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Edison Jose Cano Cevallos graduated from medical school in 2013

NPI Data:

NPI Number: 1982080339
Provider Enumeration Date: 08/08/2015
Last Update Date: 03/09/2022

Medicare PECOS Information:

PECOS PAC ID: 9032465976
Enrollment ID: I20210809002762

Medical Identifiers

Medical identifiers for Edison Jose Cano Cevallos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982080339	NPI	-	NPPES
111150900	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	ME151652 (Florida)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	63792 (Minnesota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207RI0200X	Internal Medicine - Infectious Disease	ME151652 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Regional Hospital	Hollywood, FL	Hospital
Memorial Hospital West	Pembroke pines, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Broward Hospital District	8123927373	537

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. Edison Jose Cano Cevallos allows following entities to bill medicare on his behalf.

Entity Name	South Broward Hospital District
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1356712277 PECOS PAC ID: 8123927373 Enrollment ID: O20151228001564

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. Edison Jose Cano Cevallos 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
Edison Jose Cano Cevallos, MD 2900 Corporate Way, Door D, Miramar, FL 33025-3925 Ph: (954) 276-5685	Edison Jose Cano Cevallos, MD 5647 Hollywood Blvd, Hollywood, FL 33021-6325 Ph: (954) 276-1616

Reviews and Comments

Internal Medicine Doctors in Hollywood, FL

Dr. Hugo Victor Bejar, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 795 S Federal Hwy, Hollywood, FL 33020 Phone: 954-923-4646
Dr. Juan Carlos Brenes, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave Ste 605, Hollywood, FL 33021 Phone: 954-265-7900 Fax: 954-276-0271
Dr. Wayne Brett Schonfeld, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 4700 Sheridan St, Suite F, Hollywood, FL 33021 Phone: 954-961-8400 Fax: 954-963-8508
Michael S Marek, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 3702 Washington St, Suite 303, Hollywood, FL 33021 Phone: 954-967-6550 Fax: 954-967-6553
Larrye Michael Feldman, DO Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 3389 Sheridan St, Box #204, Hollywood, FL 33021 Phone: 954-240-0813
Lawrence Michael Reiss, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave, Suite 605, Hollywood, FL 33021 Phone: 954-265-7900 Fax: 954-276-0264
Dr. Nelson Robert Zide, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 4700 K Sheridan St, Hollywood, FL 33021 Phone: 954-962-0040 Fax: 954-962-7901

Edison Jose Cano Cevallos, MD - Medicare Infectious Disease in Hollywood, FL