Eddie Gaytan, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Aurora, Illinois. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Group Health Plan Inc and his current practice location is
1351 Star Ave, Aurora, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 888-9201.
Eddie Gaytan is licensed to practice in * (Not Available) (license number ) 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 1659093235.
Provider's Profile
| Full Name | Eddie Gaytan |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 1351 Star Ave, Aurora, Illinois |
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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. |
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Medical Education and Training:
- Eddie Gaytan graduated from nursing school in 2024
NPI Data:
- NPI Number: 1659093235
- Provider Enumeration Date: 09/12/2022
- Last Update Date: 09/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 0042736605
- Enrollment ID: I20250428000025
Medical Identifiers
Medical identifiers for Eddie Gaytan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659093235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Group Health Plan Inc | 1759293954 | 1487 |
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. Eddie Gaytan 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 |
|---|
Eddie Gaytan,
1351 Star Ave,
Aurora, IL 60505-1414
Ph: (630) 888-9201 | Eddie Gaytan,
1351 Star Ave,
Aurora, IL 60505-1414
Ph: (630) 888-9201 |
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