Dr Edwin Jacob Humphrey Iv, MD in St Petersburg, FL

Dr Edwin Jacob Humphrey Iv, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in St Petersburg, Florida. He went to Jc Edwards School Of Medicine, Marshall University and graduated in 1986 and has 38 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Ohi West Medical Group Llc and his current practice location is 701 6th St S, St Petersburg, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 893-6182.

Dr Edwin Jacob Humphrey Iv is licensed to practice in Florida (license number ME0051812) 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 1295754547.

Contact Information

	Dr Edwin Jacob Humphrey Iv, MD
	701 6th St S, St Petersburg, FL 33701-4814
	(727) 893-6182
	(727) 893-6861

Map and Direction

Physician's Profile

Full Name	Dr Edwin Jacob Humphrey Iv
Gender	Male
Speciality	Pathology
Experience	38 Years
Location	701 6th St S, St Petersburg, Florida
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:

Dr Edwin Jacob Humphrey Iv attended and graduated from Jc Edwards School Of Medicine, Marshall University in 1986

NPI Data:

NPI Number: 1295754547
Provider Enumeration Date: 07/18/2006
Last Update Date: 01/07/2022

Medicare PECOS Information:

PECOS PAC ID: 4082730007
Enrollment ID: I20100928000700

Medical Identifiers

Medical identifiers for Dr Edwin Jacob Humphrey Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295754547	NPI	-	NPPES
054869300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	ME0051812 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bayfront Health - St Petersburg	Saint petersburg, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ohi West Medical Group Llc	2668882507	98

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 Edwin Jacob Humphrey Iv allows following entities to bill medicare on his behalf.

Entity Name	Ohi West Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518572551 PECOS PAC ID: 2668882507 Enrollment ID: O20201105000368

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 Edwin Jacob Humphrey Iv 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
Dr Edwin Jacob Humphrey Iv, MD 701 6th St S, St Petersburg, FL 33701-4814 Ph: (727) 893-6182	Dr Edwin Jacob Humphrey Iv, MD 701 6th St S, St Petersburg, FL 33701-4814 Ph: (727) 893-6182

Reviews and Comments

Pathology Doctors in St Petersburg, FL

Shreyash N Pandya, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 6000 49th St N, St Petersburg, FL 33709 Phone: 727-521-5066 Fax: 727-521-5137
Dr. Stella M Defortuna, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1200 7th Ave N, St Petersburg, FL 33705 Phone: 727-328-7800 Fax: 727-328-9555
Dr. Andrew James Rand, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, St Petersburg, FL 33705 Phone: 727-328-7800 Fax: 727-328-9555
Dr. Johnny Nguyen, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-4341 Fax: 727-767-8576
Dr. Kern M Davis, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, St Petersburg, FL 33705 Phone: 727-328-7800 Fax: 727-328-9555
Dr. Curtis L. Songster, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-893-6182 Fax: 727-893-6861

Dr Edwin Jacob Humphrey Iv, MD - Medicare Pathology in St Petersburg, FL