Edison Virgil Etsitty, MD in Santa Fe, NM - Medicare Obstetrics/gynecology

Edison Virgil Etsitty, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Santa Fe, New Mexico. He went to University Of New Mexico School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Presbyterian Healthcare Services and his current practice location is 465 Saint Michaels Dr, Suite 202, Santa Fe, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 984-0303.

Edison Virgil Etsitty is licensed to practice in New Mexico (license number 2002-0299) 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 1376521500.

Contact Information

	Edison Virgil Etsitty, MD
	465 Saint Michaels Dr, Suite 202, Santa Fe, NM 87505-7670
	(505) 984-0303
	(505) 984-1116

Map and Direction

Physician's Profile

Full Name	Edison Virgil Etsitty
Gender	Male
Speciality	Obstetrics/gynecology
Experience	26 Years
Location	465 Saint Michaels Dr, Santa Fe, New Mexico
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 Virgil Etsitty attended and graduated from University Of New Mexico School Of Medicine in 1998

NPI Data:

NPI Number: 1376521500
Provider Enumeration Date: 01/06/2006
Last Update Date: 02/10/2011

Medicare PECOS Information:

PECOS PAC ID: 1951447986
Enrollment ID: I20091006000219

Medical Identifiers

Medical identifiers for Edison Virgil Etsitty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376521500	NPI	-	NPPES
10003903	Other	NM	LOVELACE HEALTH/SALUD
201038402	Other	NM	PRESBYTERIAN HEALTH/SALUD
723040	Medicaid	AZ
160058344	Other		RAILROAD MEDICARE
NM009C04	Other	NM	BC/BS
50733826	Medicaid	NM
PROVP12721	Other		MOLINA
850313268020	Other		CHAMPUS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	2002-0299 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Presbyterian Hospital	Albuquerque, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Presbyterian Healthcare Services	9234041708	1119

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 Virgil Etsitty allows following entities to bill medicare on his behalf.

Entity Name	Presbyterian Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603

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 Virgil Etsitty 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 Virgil Etsitty, MD 465 Saint Michaels Dr, Suite 202, Santa Fe, NM 87505-7670 Ph: (505) 984-0303	Edison Virgil Etsitty, MD 465 Saint Michaels Dr, Suite 202, Santa Fe, NM 87505-7670 Ph: (505) 984-0303

Reviews and Comments

Obstetrics & Gynecology Doctors in Santa Fe, NM

Eric Stratman Manske, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2055 S Pacheco St, 200, Santa Fe, NM 87505 Phone: 505-984-0303 Fax: 505-984-1116
Mr. Cleveland Hendrick Pardue Iii, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 465 St Michaels Drive, Suite 202, Santa Fe, NM 87505 Phone: 505-984-0303 Fax: 505-984-1116
Dr. Lynore Margaret Martinez, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 405 Kiva Ct, Santa Fe, NM 87505 Phone: 505-988-4922 Fax: 505-988-4924
Sheila A Cepeda, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 465 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-984-0303
Carolyn W. Smith Lin, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1622 Galisteo St Ste 200, Santa Fe, NM 87505 Phone: 713-397-8438
Debbie A. Vigil, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1692 Hospital Dr, Santa Fe, NM 87505 Phone: 505-983-8601

Edison Virgil Etsitty, MD - Medicare Obstetrics/gynecology in Santa Fe, NM