Rafael G Sanchez, MD - Medicare Gastroenterology in Abilene, TX

Rafael G Sanchez, MD is a medicare enrolled "Specialist" physician in Abilene, Texas. He graduated from medical school in 1967 and has 52 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Dcf and his current practice location is 6250 Regional Plz, Suite 1010, Abilene, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 428-5500.

Rafael G Sanchez is licensed to practice in Texas (license number E9383) 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 1871504795.

Contact Information

6250 Regional Plz
Suite 1010
Abilene
TX 79606-5262
(325) 428-5500
(325) 428-5519

Map and Direction




Physician's Profile

Full NameRafael G Sanchez
GenderMale
SpecialityGastroenterology
Experience52 Years
LocationAbilene, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rafael G Sanchez graduated from medical school in 1967
  NPI Data:
  • NPI Number: 1871504795
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 09/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6103010442
  • Enrollment ID: I20101101001052

Medical Identifiers

Medical identifiers for Rafael G Sanchez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871504795NPI-NPPES
034247901MedicaidTX
00JR12OtherTNBCBS PROVIDER #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology E9383 (Texas)Secondary
174400000XSpecialist E9383 (Texas)Primary

Hospital Affiliation

Hospital NameLocationType
Abilene Regional Medical CenterAbilene, TXAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dcf195136729126

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. Rafael G Sanchez allows following entities to bill medicare on his behalf.
Entity NameDcf
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639132251
PECOS PAC ID: 1951367291
Enrollment ID: O20041208000280
Entity NameCalixto J Ruibal Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518012558
PECOS PAC ID: 6608834965
Enrollment ID: O20050103000995
Entity NameRegional Employee Assistance Program Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073575585
PECOS PAC ID: 1557260064
Enrollment ID: O20150714000472

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. Rafael G Sanchez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Medicare Quality Measures

Quality ProgramParticipation
Reported to Medicare Physician Quality Reporting System (PQRS) Yes
Used Electronic Health Record (EHR) No
Committed to heart health through the Million Hearts Initiative No

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rafael G Sanchez, MD
6250 Regional Plz
Suite 1010
Abilene
TX 79606-5262

Ph: (325) 428-5500
Rafael G Sanchez, MD
6250 Regional Plz
Suite 1010
Abilene
TX 79606-5262

Ph: (325) 428-5500

Reviews and Comments


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.