Victor J Navarro, MD - Medicare Gastroenterology in Philadelphia, PA

Victor J Navarro, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Philadelphia, Pennsylvania. He went to Pennsylvania State University College Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Einstein Practice Plan Inc, Einstein Practice Plan Inc and his current practice location is 5401 Old York Rd, Klein Suite 505, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 456-8242.

Victor J Navarro is licensed to practice in Pennsylvania (license number MD041828L) 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 1407815236.

Contact Information

Victor J Navarro, MD
5401 Old York Rd, Klein Suite 505,
Philadelphia, PA 19141-3030
(215) 456-8242
(215) 456-8058

Map and Direction




Physician's Profile

Full NameVictor J Navarro
GenderMale
SpecialityGastroenterology
Experience36 Years
Location5401 Old York Rd, Philadelphia, Pennsylvania
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:
  • Victor J Navarro attended and graduated from Pennsylvania State University College Of Medicine in 1988
  NPI Data:
  • NPI Number: 1407815236
  • Provider Enumeration Date: 03/21/2006
  • Last Update Date: 02/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3577588284
  • Enrollment ID: I20051012000224

Medical Identifiers

Medical identifiers for Victor J Navarro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407815236NPI-NPPES
0012394030001MedicaidPA
2301601MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology MD041828L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Albert Einstein Medical CenterPhiladelphia, PAHospital
Christiana HospitalNewark, DEHospital
Einstein Medical Center MontgomeryEast norriton, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Einstein Practice Plan Inc2769395896588
Einstein Practice Plan Inc2769395896588

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. Victor J Navarro allows following entities to bill medicare on his behalf.
Entity NameEinstein Practice Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760434468
PECOS PAC ID: 2769395896
Enrollment ID: O20040219000728

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. Victor J Navarro 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 AddressPractice Location Address
Victor J Navarro, MD
5401 Old York Rd, Klein Suite 505,
Philadelphia, PA 19141-3030

Ph: (215) 456-8242
Victor J Navarro, MD
5401 Old York Rd, Klein Suite 505,
Philadelphia, PA 19141-3030

Ph: (215) 456-8242

Reviews and Comments


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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.