Dr Edgar Janetzko, MD is a medicare enrolled "Internal Medicine" physician in Truth Or Consequences, New Mexico. He graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Ben Archer Health Center and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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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| Experience | 29 Years |
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| Location | 1960 N Date St, Truth Or Consequences, New Mexico |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Edgar Janetzko graduated from medical school in 1996
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ben Archer Health Center | 7517878796 | 39 |
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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