Jorge Arturo Carrasco Avila, MD is a medicare enrolled "Hospitalist" physician in Farmington, Missouri. His current practice location is
1101 W Liberty St, Farmington, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 705-1272.
Jorge Arturo Carrasco Avila is licensed to practice in Missouri (license number 2023026703) 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 1578172755.
Physician's Profile
Full Name | Jorge Arturo Carrasco Avila |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 1101 W Liberty St, Farmington, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578172755
- Provider Enumeration Date: 07/23/2020
- Last Update Date: 08/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638533086
- Enrollment ID: I20230918004133
Medical Identifiers
Medical identifiers for Jorge Arturo Carrasco Avila such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578172755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 2023026703 (Missouri) | Secondary |
208M00000X | Hospitalist | 2023026703 (Missouri) | 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. Jorge Arturo Carrasco Avila allows following entities to bill medicare on his behalf.
Entity Name | Physician Groups Lc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
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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. Jorge Arturo Carrasco Avila 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 |
Jorge Arturo Carrasco Avila, MD 1101 W Liberty St, Farmington, MO 63640-1921 Ph: (573) 705-1272 | Jorge Arturo Carrasco Avila, MD 1101 W Liberty St, Farmington, MO 63640-1921 Ph: (573) 705-1272 |
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