Edison Virgil Etsitty, MD - Medicare Obstetrics/gynecology in Santa Fe, NM

Edison Virgil Etsitty, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Santa Fe, New Mexico. He went to University Of New Mexico School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Presbyterian Healthcare Services and his current practice location is 465 Saint Michaels Dr, Suite 202, Santa Fe, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 984-0303.

Edison Virgil Etsitty is licensed to practice in New Mexico (license number 2002-0299) 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 1376521500.

Contact Information

Edison Virgil Etsitty, MD
465 Saint Michaels Dr, Suite 202,
Santa Fe, NM 87505-7670
(505) 984-0303
(505) 984-1116



Physician's Profile

Full NameEdison Virgil Etsitty
GenderMale
SpecialityObstetrics/gynecology
Experience26 Years
Location465 Saint Michaels Dr, Santa Fe, New Mexico
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:
  • Edison Virgil Etsitty attended and graduated from University Of New Mexico School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1376521500
  • Provider Enumeration Date: 01/06/2006
  • Last Update Date: 02/10/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1951447986
  • Enrollment ID: I20091006000219

Medical Identifiers

Medical identifiers for Edison Virgil Etsitty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376521500NPI-NPPES
10003903OtherNMLOVELACE HEALTH/SALUD
201038402OtherNMPRESBYTERIAN HEALTH/SALUD
723040MedicaidAZ
160058344OtherRAILROAD MEDICARE
NM009C04OtherNMBC/BS
50733826MedicaidNM
PROVP12721OtherMOLINA
850313268020OtherCHAMPUS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 2002-0299 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Presbyterian HospitalAlbuquerque, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Presbyterian Healthcare Services92340417081099

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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. Edison Virgil Etsitty allows following entities to bill medicare on his behalf.
Entity NamePresbyterian Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104802354
PECOS PAC ID: 9234041708
Enrollment ID: O20031103000603

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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. Edison Virgil Etsitty 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
Edison Virgil Etsitty, MD
465 Saint Michaels Dr, Suite 202,
Santa Fe, NM 87505-7670

Ph: (505) 984-0303
Edison Virgil Etsitty, MD
465 Saint Michaels Dr, Suite 202,
Santa Fe, NM 87505-7670

Ph: (505) 984-0303

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Obstetrics & Gynecology Doctors in Santa Fe, NM

Eric Stratman Manske, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2055 S Pacheco St, 200, Santa Fe, NM 87505
Phone: 505-984-0303    Fax: 505-984-1116
Mr. Cleveland Hendrick Pardue Iii, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 465 St Michaels Drive, Suite 202, Santa Fe, NM 87505
Phone: 505-984-0303    Fax: 505-984-1116
Dr. Lynore Margaret Martinez, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 405 Kiva Ct, Santa Fe, NM 87505
Phone: 505-988-4922    Fax: 505-988-4924
Sheila A Cepeda, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 465 Saint Michaels Dr, Santa Fe, NM 87505
Phone: 505-984-0303    
Carolyn W. Smith Lin, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1622 Galisteo St Ste 200, Santa Fe, NM 87505
Phone: 713-397-8438    
Debbie A. Vigil, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1692 Hospital Dr, Santa Fe, NM 87505
Phone: 505-983-8601    

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