Dr Edgar Cruz Davila, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jamaica, New York. His current practice location is
8900 Van Wyck Expy, Jamaica, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 206-6768.
Dr Edgar Cruz Davila is licensed to practice in * (Not Available) (license number ) 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 1619435559.
Physician's Profile
Full Name | Dr Edgar Cruz Davila |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 8900 Van Wyck Expy, Jamaica, New York |
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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: 1619435559
- Provider Enumeration Date: 03/11/2019
- Last Update Date: 03/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880063411
- Enrollment ID: I20221202003014
Medical Identifiers
Medical identifiers for Dr Edgar Cruz Davila such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619435559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 318406-01 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Edgar Cruz Davila allows following entities to bill medicare on his behalf.
Entity Name | Tjh Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184670465 PECOS PAC ID: 8527960533 Enrollment ID: O20040121000802 |
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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. Dr Edgar Cruz Davila 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 |
Dr Edgar Cruz Davila, MD 7166 Parsons Blvd Apt 2a, Fresh Meadows, NY 11365-4506 Ph: (407) 866-4658 | Dr Edgar Cruz Davila, MD 8900 Van Wyck Expy, Jamaica, NY 11418-2897 Ph: (718) 206-6768 |
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