Dr Edgar Janetzko, MD is a medicare enrolled "Internal Medicine" physician in Truth Or Consequences, New Mexico. His current practice location is
1960 N Date St, Truth Or Consequences, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 894-7662.
Dr Edgar Janetzko is licensed to practice in New Mexico (license number 96-286) 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 1215999891.
Physician's Profile
| Full Name | Dr Edgar Janetzko |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 1960 N Date St, Truth Or Consequences, New Mexico |
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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: 1215999891
- Provider Enumeration Date: 04/06/2006
- Last Update Date: 08/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 7719017730
- Enrollment ID: I20100617000169
Medical Identifiers
Medical identifiers for Dr Edgar Janetzko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215999891 | NPI | - | NPPES |
| 1447278-01 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | L1895 (Texas) | Secondary |
| 207R00000X | Internal Medicine | 96-286 (New Mexico) | 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 Janetzko allows following entities to bill medicare on his behalf.
| Entity Name | Ben Archer Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871528505 PECOS PAC ID: 7517878796 Enrollment ID: O20031120000966 |
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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 Janetzko 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 Janetzko, MD Po Box 370, Hatch, NM 87937-0370 Ph: (575) 267-3280 | Dr Edgar Janetzko, MD 1960 N Date St, Truth Or Consequences, NM 87901-3701 Ph: (575) 894-7662 |
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