Eddie Gaytan, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Aurora, Illinois. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659093235.
Provider's Profile
| Full Name | Eddie Gaytan |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1351 Star Ave, Aurora, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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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 |
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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