Dr Edwin Manuel Villalobos, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Lake Mary, Florida. His current practice location is
2692 W Lake Mary Blvd, Lake Mary, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 710-8027.
Dr Edwin Manuel Villalobos is licensed to practice in Florida (license number ME44332) 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 1861572653.
Physician's Profile
| Full Name | Dr Edwin Manuel Villalobos |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 2692 W Lake Mary Blvd, Lake Mary, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861572653
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 06/09/2016
Medicare PECOS Information:
- PECOS PAC ID: 0345265518
- Enrollment ID: I20051015000006
Medical Identifiers
Medical identifiers for Dr Edwin Manuel Villalobos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861572653 | NPI | - | NPPES |
| 47633Z | Other | FL | MEDICARE 34259 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME44332 (Florida) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | ME44332 (Florida) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | ME44332 (Florida) | Secondary |
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 Edwin Manuel Villalobos allows following entities to bill medicare on his behalf.
| Entity Name | Florida Pain And Rehabilitation Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053363457
PECOS PAC ID: 6204732605
Enrollment ID: O20031219000145 |
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| Entity Name | National Surgical Centers Of America Llc |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1770724122
PECOS PAC ID: 0143365205
Enrollment ID: O20100301000970 |
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| Entity Name | National Surgical Centers Of America Llc |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1063853174
PECOS PAC ID: 0143365205
Enrollment ID: O20131219001320 |
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| Entity Name | National Surgical Centers Of America Llc |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1992040976
PECOS PAC ID: 0143365205
Enrollment ID: O20140424001550 |
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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 Edwin Manuel Villalobos 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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Dr Edwin Manuel Villalobos, MD
5365 W Atlantic Ave, Suite 504,
Delray Beach, FL 33484-8172
Ph: (561) 241-9300 | Dr Edwin Manuel Villalobos, MD
2692 W Lake Mary Blvd,
Lake Mary, FL 32746-3535
Ph: (321) 710-8027 |
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