Edgar R Santillan, MD is a medicare enrolled "Hospitalist" physician in Centerville, Ohio. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
2400 Miami Valley Dr, Centerville, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 556-4324.
Edgar R Santillan is licensed to practice in Ohio (license number 35.075548) 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 1902823867.
Physician's Profile
| Full Name | Edgar R Santillan |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Experience | 32 Years |
|---|
| Location | 2400 Miami Valley Dr, Centerville, Ohio |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Edgar R Santillan graduated from medical school in 1992
NPI Data:
- NPI Number: 1902823867
- Provider Enumeration Date: 07/16/2006
- Last Update Date: 03/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507837044
- Enrollment ID: I20040805001335
Medical Identifiers
Medical identifiers for Edgar R Santillan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902823867 | NPI | - | NPPES |
| 2489016 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 35.075548 (Ohio) | Primary |
| 207R00000X | Internal Medicine | 35-075548 (Ohio) | Secondary |
Medical Facilities Affiliation
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 Santillan allows following entities to bill medicare on his behalf.
| Entity Name | Edgar Santillan Md Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1114325321
PECOS PAC ID: 5193041614
Enrollment ID: O20150227001270 |
|---|
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 Santillan 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 R Santillan, MD
Po Box 771861,
Detroit, MI 48277-1861
Ph: (937) 556-4324 | Edgar R Santillan, MD
2400 Miami Valley Dr,
Centerville, OH 45459-4774
Ph: (937) 556-4324 |
Reviews and Comments