Edwidge L Raoul, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Daytona Beach Shores, Florida. She went to Rush Medical College Of Rush University and graduated in 1993 and has 31 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. Her current practice location is
3512 S Atlantic Ave, Daytona Beach Shores, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 767-9544.
Edwidge L Raoul is licensed to practice in Florida (license number ME79247) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417089160.
Physician's Profile
| Full Name | Edwidge L Raoul |
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| Gender | Female |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 31 Years |
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| Location | 3512 S Atlantic Ave, Daytona Beach Shores, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Edwidge L Raoul attended and graduated from Rush Medical College Of Rush University in 1993
NPI Data:
- NPI Number: 1417089160
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4688697741
- Enrollment ID: I20060104000725
Medical Identifiers
Medical identifiers for Edwidge L Raoul such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417089160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME79247 (Florida) | Primary |
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. Edwidge L Raoul allows following entities to bill medicare on her behalf.
| Entity Name | Radial Health Southeast Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174159891
PECOS PAC ID: 7113357476
Enrollment ID: O20200429000224 |
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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. Edwidge L Raoul 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 |
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Edwidge L Raoul, MD
1885 Carrin St,
Deltona, FL 32738-7714
Ph: () - | Edwidge L Raoul, MD
3512 S Atlantic Ave,
Daytona Beach Shores, FL 32118-7639
Ph: (386) 767-9544 |
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