Mr Edgar Reyes, PA is a medicare enrolled "Physician Assistant - Medical" in Walnut Park, California. He went to Stanford University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Los Reyes Cliinica Medica, Inc and his current practice location is
7934 Seville Ave, Walnut Park, California. You can reach out to his office (for appointments etc.) via phone at
(323) 584-9644.
Mr Edgar Reyes is licensed to practice in California (license number PA17375) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1891738324.
Provider's Profile
| Full Name | Mr Edgar Reyes |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 21 Years |
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| Location | 7934 Seville Ave, Walnut Park, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Edgar Reyes attended and graduated from Stanford University School Of Medicine in 2003
NPI Data:
- NPI Number: 1891738324
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 01/14/2014
Medicare PECOS Information:
- PECOS PAC ID: 4082655345
- Enrollment ID: I20050517000433
Medical Identifiers
Medical identifiers for Mr Edgar Reyes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891738324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA17375 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Los Reyes Cliinica Medica, Inc | 2668570243 | 4 |
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. Mr Edgar Reyes allows following entities to bill medicare on his behalf.
| Entity Name | Los Reyes Cliinica Medica, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952461774
PECOS PAC ID: 2668570243
Enrollment ID: O20070605000429 |
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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. Mr Edgar Reyes 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 |
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Mr Edgar Reyes, PA
7934 Seville Ave,
Walnut Park, CA 90255-6804
Ph: (323) 584-9644 | Mr Edgar Reyes, PA
7934 Seville Ave,
Walnut Park, CA 90255-6804
Ph: (323) 584-9644 |
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