Dr Edmundo Samuel Justino, MD - Medicare Gastroenterology in Prescott, AZ

Dr Edmundo Samuel Justino, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Prescott, Arizona. He went to University Of Texas Medical Branch At Galveston and graduated in 2004 and has 20 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Yavapai Regional Medical Center Physician Care, Llc and his current practice location is 810 Ainsworth Dr Ste A, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 771-5548.

Dr Edmundo Samuel Justino is licensed to practice in Arizona (license number 60368) 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 1720156136.

Contact Information

Dr Edmundo Samuel Justino, MD
810 Ainsworth Dr Ste A,
Prescott, AZ 86301-1612
(928) 771-5548
(928) 771-5549



Physician's Profile

Full NameDr Edmundo Samuel Justino
GenderMale
SpecialityGastroenterology
Experience20 Years
Location810 Ainsworth Dr Ste A, Prescott, Arizona
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:
  • Dr Edmundo Samuel Justino attended and graduated from University Of Texas Medical Branch At Galveston in 2004
  NPI Data:
  • NPI Number: 1720156136
  • Provider Enumeration Date: 12/01/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284792516
  • Enrollment ID: I20200619001190

Medical Identifiers

Medical identifiers for Dr Edmundo Samuel Justino such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720156136NPI-NPPES
007145MedicaidAZ
215032801MedicaidTX
TXB107550OtherTXMEDICARE PTAN
60368OtherAZMEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 60368 (Arizona)Primary
207RG0100XInternal Medicine - Gastroenterology 11931 (North Dakota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yavapai Regional Medical CenterPrescott, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Yavapai Regional Medical Center Physician Care, Llc5294898987115

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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. Dr Edmundo Samuel Justino allows following entities to bill medicare on his behalf.
Entity NameYavapai Regional Medical Center Physician Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255582003
PECOS PAC ID: 5294898987
Enrollment ID: O20090106000798

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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. Dr Edmundo Samuel Justino 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
Dr Edmundo Samuel Justino, MD
Po Box 10880,
Prescott, AZ 86304-0880

Ph: (928) 759-5874
Dr Edmundo Samuel Justino, MD
810 Ainsworth Dr Ste A,
Prescott, AZ 86301-1612

Ph: (928) 771-5548

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Internal Medicine Doctors in Prescott, AZ

Dr. Jyotsana M Patel, M.D.
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 500 N Hwy 89, Northern Arizona Va Hcs, Prescott, AZ 86313
Phone: 928-445-4860    
Dr. Warren Reyes Ho, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3122 Willow Creek Rd, Prescott, AZ 86301
Phone: 928-445-7632    Fax: 928-445-9283
Karen L Yates, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3101 Clearwater Dr, Suite C, Prescott, AZ 86305
Phone: 928-771-0555    Fax: 928-771-0444
Dr. Milton Murray Schild, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 811 Ainsworth Dr, Suite 103, Prescott, AZ 86301
Phone: 928-771-5548    Fax: 928-771-5549
Dr. Ayyasamy P Selvam, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 500 N Us Highway 89, Va Medical Center, Prescott, AZ 86313
Phone: 928-776-6009    Fax: 928-776-6098
Dr. Jerome C Robinson, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 802 Ainsworth Dr Ste A, Prescott, AZ 86301
Phone: 928-445-6025    Fax: 928-778-3026
Dr. George Sein, M.D
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 919 12th Pl Ste 6, Prescott, AZ 86305
Phone: 928-445-4166    

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