Dr Edmundo Samuel Justino, MD in Prescott, AZ

Dr Edmundo Samuel Justino, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Prescott, Arizona. He went to University Of Texas Medical Branch At Galveston and graduated in 2004 and has 20 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Yavapai Regional Medical Center Physician Care, Llc and his current practice location is 810 Ainsworth Dr Ste A, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 771-5548.

Dr Edmundo Samuel Justino is licensed to practice in Arizona (license number 60368) 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 1720156136.

Contact Information

	Dr Edmundo Samuel Justino, MD
	810 Ainsworth Dr Ste A, Prescott, AZ 86301-1612
	(928) 771-5548
	(928) 771-5549

Map and Direction

Physician's Profile

Full Name	Dr Edmundo Samuel Justino
Gender	Male
Speciality	Gastroenterology
Experience	20 Years
Location	810 Ainsworth Dr Ste A, Prescott, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Edmundo Samuel Justino attended and graduated from University Of Texas Medical Branch At Galveston in 2004

NPI Data:

NPI Number: 1720156136
Provider Enumeration Date: 12/01/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 4284792516
Enrollment ID: I20200619001190

Medical Identifiers

Medical identifiers for Dr Edmundo Samuel Justino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720156136	NPI	-	NPPES
007145	Medicaid	AZ
215032801	Medicaid	TX
TXB107550	Other	TX	MEDICARE PTAN
60368	Other	AZ	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	60368 (Arizona)	Primary
207RG0100X	Internal Medicine - Gastroenterology	11931 (North Dakota)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Yavapai Regional Medical Center	Prescott, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Yavapai Regional Medical Center Physician Care, Llc	5294898987	115

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 Edmundo Samuel Justino allows following entities to bill medicare on his behalf.

Entity Name	Yavapai Regional Medical Center Physician Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798

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 Edmundo Samuel Justino 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 Edmundo Samuel Justino, MD Po Box 10880, Prescott, AZ 86304-0880 Ph: (928) 759-5874	Dr Edmundo Samuel Justino, MD 810 Ainsworth Dr Ste A, Prescott, AZ 86301-1612 Ph: (928) 771-5548

Reviews and Comments

Internal Medicine Doctors in Prescott, AZ

Dr. Jyotsana M Patel, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 500 N Hwy 89, Northern Arizona Va Hcs, Prescott, AZ 86313 Phone: 928-445-4860
Dr. Warren Reyes Ho, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3122 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-445-7632 Fax: 928-445-9283
Karen L Yates, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3101 Clearwater Dr, Suite C, Prescott, AZ 86305 Phone: 928-771-0555 Fax: 928-771-0444
Dr. Milton Murray Schild, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 811 Ainsworth Dr, Suite 103, Prescott, AZ 86301 Phone: 928-771-5548 Fax: 928-771-5549
Dr. Ayyasamy P Selvam, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 500 N Us Highway 89, Va Medical Center, Prescott, AZ 86313 Phone: 928-776-6009 Fax: 928-776-6098
Dr. Jerome C Robinson, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 802 Ainsworth Dr Ste A, Prescott, AZ 86301 Phone: 928-445-6025 Fax: 928-778-3026
Dr. George Sein, M.D Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 919 12th Pl Ste 6, Prescott, AZ 86305 Phone: 928-445-4166

Dr Edmundo Samuel Justino, MD - Medicare Gastroenterology in Prescott, AZ