Edgar Bedolla, MD in Southlake, TX

Edgar Bedolla, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Southlake, Texas. His current practice location is 415 E Southlake Blvd Ste 202, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 416-8080.

Edgar Bedolla is licensed to practice in Texas (license number R7662) 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 1265691158.

Contact Information

	Edgar Bedolla, MD
	415 E Southlake Blvd Ste 202, Southlake, TX 76092
	(817) 416-8080
	Not Available

Map and Direction

Physician's Profile

Full Name	Edgar Bedolla
Gender	Male
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	415 E Southlake Blvd Ste 202, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265691158
Provider Enumeration Date: 06/05/2008
Last Update Date: 08/25/2018

Medicare PECOS Information:

PECOS PAC ID: 9335366764
Enrollment ID: I20181128002373

Medical Identifiers

Medical identifiers for Edgar Bedolla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265691158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	27188 (Oklahoma)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	R7662 (Texas)	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. Edgar Bedolla allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486

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. Edgar Bedolla 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
Edgar Bedolla, MD 415 E Southlake Blvd Ste 202, Southlake, TX 76092-6280 Ph: (817) 416-8080	Edgar Bedolla, MD 415 E Southlake Blvd Ste 202, Southlake, TX 76092 Ph: (817) 416-8080

Reviews and Comments

Surgery Doctors in Southlake, TX

Dr. Robert W Sewell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1545 E Southlake Blvd, Suite 140, Southlake, TX 76092 Phone: 817-748-0200 Fax: 817-749-0204
Maria Valeria Simone, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1545 E Southlake Blvd, Suite 140, Southlake, TX 76092 Phone: 817-748-0200 Fax: 817-749-0204
Dr. Jacob Carlson, MD Surgery Medicare: Medicare Enrolled Practice Location: 415 E Southlake Blvd Ste 101, Southlake, TX 76092 Phone: 817-416-8080
Dr. Grant Alexander Bond, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 415 E Southlake Blvd Ste 101, Southlake, TX 76092 Phone: 817-416-8080
Miral Sapan Amin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7415 Las Colinas Blvd, Southlake, TX 76092 Phone: 248-760-3339 Fax: 248-760-3339
Brooks Brenden Kelly, MD Surgery Medicare: Medicare Enrolled Practice Location: 415 E Southlake Blvd Ste 101, Southlake, TX 76092 Phone: 817-809-3155

Edgar Bedolla, MD - Medicare Surgery in Southlake, TX