Dr Jessica Y Calvo Castanon, MD is a medicare enrolled "Pediatrics" physician in Dodge City, Kansas. Her current practice location is
100 W Ross Blvd, Suite 2a, Dodge City, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 227-3141.
Dr Jessica Y Calvo Castanon is licensed to practice in Kansas (license number 04-37183) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104114081.
Physician's Profile
Full Name | Dr Jessica Y Calvo Castanon |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 100 W Ross Blvd, Dodge City, Kansas |
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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: 1104114081
- Provider Enumeration Date: 07/13/2011
- Last Update Date: 09/25/2014
Medicare PECOS Information:
- PECOS PAC ID: 2567682818
- Enrollment ID: I20230828000365
Medical Identifiers
Medical identifiers for Dr Jessica Y Calvo Castanon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104114081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 04-37183 (Kansas) | 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 Jessica Y Calvo Castanon allows following entities to bill medicare on her behalf.
Entity Name | Sierra Vista Regional Health Center Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043575483 PECOS PAC ID: 3779732854 Enrollment ID: O20121004000679 |
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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 Jessica Y Calvo Castanon 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 Jessica Y Calvo Castanon, MD 100 W Ross Blvd, Suite 2a, Dodge City, KS 67801-7216 Ph: (620) 227-3141 | Dr Jessica Y Calvo Castanon, MD 100 W Ross Blvd, Suite 2a, Dodge City, KS 67801-7216 Ph: (620) 227-3141 |
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