Jorge Manuel Revelo Escobar, MD in Elmhurst, NY

Jorge Manuel Revelo Escobar, MD is a medicare enrolled "Pediatrics" physician in Elmhurst, New York. His current practice location is 7901 Broadway, Elmhurst, New York. You can reach out to his office (for appointments etc.) via phone at (718) 334-2156.

Jorge Manuel Revelo Escobar is licensed to practice in New York (license number 316622-01) 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 1679050579.

Contact Information

	Jorge Manuel Revelo Escobar, MD
	7901 Broadway, Elmhurst, NY 11373-1329
	(718) 334-2156
	Not Available

Map and Direction

Physician's Profile

Full Name	Jorge Manuel Revelo Escobar
Gender	Male
Speciality	Pediatrics
Location	7901 Broadway, Elmhurst, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679050579
Provider Enumeration Date: 07/24/2018
Last Update Date: 07/22/2022

Medicare PECOS Information:

PECOS PAC ID: 1557706678
Enrollment ID: I20240228004122

Medical Identifiers

Medical identifiers for Jorge Manuel Revelo Escobar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679050579	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	316622-01 (New York)	Primary

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 Manuel Revelo Escobar 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 Manuel Revelo Escobar, MD 7901 Broadway, Elmhurst, NY 11373-1329 Ph: (718) 334-2156	Jorge Manuel Revelo Escobar, MD 7901 Broadway, Elmhurst, NY 11373-1329 Ph: (718) 334-2156

Reviews and Comments

Pediatrics Doctors in Elmhurst, NY

Carlos Andres Paredes Ponce, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-3050
Oleg Sirkis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815
Tina Q Cheng, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Suite A1-18, Elmhurst, NY 11373 Phone: 718-334-1991 Fax: 718-334-1971
Maria Christina Stavroulakis, Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-2156
Melvin Gertner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815
Azfar Shabbir, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 79-01 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815
Lucy Lim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Rooma1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815

Jorge Manuel Revelo Escobar, MD - Medicare Pediatrics in Elmhurst, NY