Dr Rafael A Cortes, MD - Medicare Gastroenterology in St Augustine, FL

Dr Rafael A Cortes, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in St Augustine, Florida. He went to University Central Del Caribe Escuela De Medicina 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 Borland Groover Clinic, Pa and his current practice location is 100 Whetstone Pl, Suite 105, St Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 829-9557.

Dr Rafael A Cortes is licensed to practice in Florida (license number ME90959) 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 1770729816.

Contact Information

Dr Rafael A Cortes, MD
100 Whetstone Pl, Suite 105,
St Augustine, FL 32086-5774
(904) 829-9557
(904) 829-9125

Map and Direction




Physician's Profile

Full NameDr Rafael A Cortes
GenderMale
SpecialityGastroenterology
Experience20 Years
Location100 Whetstone Pl, St Augustine, Florida
Accepts Medicare AssignmentsYes. 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 Rafael A Cortes attended and graduated from University Central Del Caribe Escuela De Medicina in 2004
  NPI Data:
  • NPI Number: 1770729816
  • Provider Enumeration Date: 12/19/2008
  • Last Update Date: 06/11/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0244376952
  • Enrollment ID: I20091012000078

Medical Identifiers

Medical identifiers for Dr Rafael A Cortes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770729816NPI-NPPES
001047300MedicaidFL
003159216AOtherGAGEORGIA MEDICAID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology ME90959 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Flagler HospitalSaint augustine, FLHospital
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Borland Groover Clinic, Pa6507761301113

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 Rafael A Cortes allows following entities to bill medicare on his behalf.
Entity NameBorland Groover Clinic, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881644912
PECOS PAC ID: 6507761301
Enrollment ID: O20031204000789

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 Rafael A Cortes 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 AddressPractice Location Address
Dr Rafael A Cortes, MD
4800 Belfort Rd,
Jacksonville, FL 32256-6004

Ph: (904) 398-7205
Dr Rafael A Cortes, MD
100 Whetstone Pl, Suite 105,
St Augustine, FL 32086-5774

Ph: (904) 829-9557

Reviews and Comments


Internal Medicine Doctors in St Augustine, FL

Dr. Rosemarie L. Lim, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 228 Southpark Cir E, St Augustine, FL 32086
Phone: 904-824-6266    Fax: 904-826-3244
Dr. David Brett Goldberg, M.D.
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 6010 A1a S, St Augustine, FL 32080
Phone: 904-461-5080    Fax: 904-217-0840
Dr. Gaurav Trikha, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 121 Whitehall Dr, St Augustine, FL 32086
Phone: 904-825-4500    Fax: 904-825-3672
Dr. Adey A A Hasan, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 204 Southpark Cir E, St Augustine, FL 32086
Phone: 904-829-8300    Fax: 904-829-8310
Bernard R Borbely, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Whetstone Pl, Suite208, St Augustine, FL 32086
Phone: 904-819-6800    Fax: 904-819-6700
Dr. Daniel J Gassert, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 216 Southpark Cir E, St Augustine, FL 32086
Phone: 904-824-6108    Fax: 904-823-9613
Vivek M Manikal, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1093 A1a Beach Blvd Pmb415, St Augustine, FL 32080
Phone: 904-819-9925    Fax: 904-819-9926

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.