Edgar R Cordivin, MD - Medicare Radiology in Gallup, NM

Edgar R Cordivin, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Gallup, New Mexico. His current practice location is 516 East Nizhoni Blvd., Gallup, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 722-1000.

Edgar R Cordivin is licensed to practice in Arizona (license number 16830) 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 1992760250.

Contact Information

Edgar R Cordivin, MD
516 East Nizhoni Blvd.,
Gallup, NM 87301-1337
(505) 722-1000
(505) 722-1192

Map and Direction




Physician's Profile

Full NameEdgar R Cordivin
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location516 East Nizhoni Blvd., Gallup, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992760250
  • Provider Enumeration Date: 04/19/2006
  • Last Update Date: 04/09/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6406947449
  • Enrollment ID: I20100416000226

Medical Identifiers

Medical identifiers for Edgar R Cordivin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992760250NPI-NPPES
182767MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 16830 (Arizona)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 R Cordivin allows following entities to bill medicare on his behalf.
Entity NameTuba City Regional Health Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548294424
PECOS PAC ID: 4284542531
Enrollment ID: O20031105000107

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 R Cordivin 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
Edgar R Cordivin, MD
1441 N 12th St,
Phoenix, AZ 85006-2837

Ph: () -
Edgar R Cordivin, MD
516 East Nizhoni Blvd.,
Gallup, NM 87301-1337

Ph: (505) 722-1000

Reviews and Comments


Radiology Doctors in Gallup, NM

Eileen Biunno, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 516 E. Nizhoni Blvd, Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1192
Daniel S Beggs, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1192
Dr. Paul David Ostrovsky, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301
Phone: 505-722-1162    Fax: 505-722-1192
Jagdish Chabra, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1192
Richard Sorgen, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301
Phone: 505-722-1000    
Stephen M Friedman, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1192
Pierre Lanthiez, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1901 Redrock Dr, Gallup, NM 87301
Phone: 575-532-7000    

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.