Jorge Luis Cambo, MD is a medicare enrolled "Emergency Medicine" physician in Deltona, Florida. He graduated from medical school in 1982 and has 44 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Halifax Healthcare Systems Inc and his current practice location is
3300 E Halifax Crossing Blvd, Deltona, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 425-6100.
Jorge Luis Cambo is licensed to practice in Florida (license number ME48428) 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 1417924812.
Physician's Profile
| Full Name | Jorge Luis Cambo |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 44 Years |
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| Location | 3300 E Halifax Crossing Blvd, Deltona, Florida |
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| 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:
- Jorge Luis Cambo graduated from medical school in 1982
NPI Data:
- NPI Number: 1417924812
- Provider Enumeration Date: 03/03/2006
- Last Update Date: 10/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 9234030479
- Enrollment ID: I20100317000953
Medical Identifiers
Medical identifiers for Jorge Luis Cambo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417924812 | NPI | - | NPPES |
| 61529 | Other | FL | BCBS |
| 061454800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | ME48428 (Florida) | Primary |
| 207R00000X | Internal Medicine | ME48428 (Florida) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Halifax Healthcare Systems Inc | 1254238090 | 345 |
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. Jorge Luis Cambo allows following entities to bill medicare on his behalf.
| Entity Name | Halifax Healthcare Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
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| Entity Name | Paragon Emergency Services LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
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| Entity Name | Ridgewood Emergency Group, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750862694 PECOS PAC ID: 6305199597 Enrollment ID: O20181106001193 |
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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. Jorge Luis Cambo 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 |
Jorge Luis Cambo, MD 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (386) 226-4590 | Jorge Luis Cambo, MD 3300 E Halifax Crossing Blvd, Deltona, FL 32725-2911 Ph: (386) 425-6100 |
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