Dr Jacquelyn Diane Sammons, DO - Medicare Obstetrics & Gynecology in Anaheim, CA

  1. Home
  2. Obstetrics & Gynecology
  3. CA
  4. Anaheim
Dr Jacquelyn Diane Sammons, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Anaheim, California. Her current practice location is 6200 E Canyon Rim Rd Ste 105b, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (714) 900-3091.

Dr Jacquelyn Diane Sammons is licensed to practice in California (license number 20A9246) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982732236.

Contact Information

Dr Jacquelyn Diane Sammons, DO
6200 E Canyon Rim Rd Ste 105b,
Anaheim, CA 92807-4313
(714) 900-3091
(714) 386-5147

Map and Direction




Physician's Profile

Full NameDr Jacquelyn Diane Sammons
GenderFemale
SpecialityObstetrics & Gynecology
Location6200 E Canyon Rim Rd Ste 105b, Anaheim, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982732236
  • Provider Enumeration Date: 03/01/2007
  • Last Update Date: 10/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6305924622
  • Enrollment ID: I20080425000619

Medical Identifiers

Medical identifiers for Dr Jacquelyn Diane Sammons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982732236NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VG0400XObstetrics & Gynecology - Gynecology 9246 (California)Secondary
207VG0400XObstetrics & Gynecology - Gynecology 20A9246 (California)Secondary
207V00000XObstetrics & Gynecology 20A9246 (California)Primary

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 Jacquelyn Diane Sammons allows following entities to bill medicare on her behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameBeach Pro Physical Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447861653
PECOS PAC ID: 0547675027
Enrollment ID: O20210215001099

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 Jacquelyn Diane Sammons 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 Jacquelyn Diane Sammons, DO
6200 E Canyon Rim Rd Ste 105b,
Anaheim, CA 92807-4313

Ph: (714) 900-3091		Dr Jacquelyn Diane Sammons, DO
6200 E Canyon Rim Rd Ste 105b,
Anaheim, CA 92807-4313

Ph: (714) 900-3091

Reviews and Comments


Obstetrics & Gynecology Doctors in Anaheim, CA

Jane K Hong, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1174 N Euclid St, Anaheim, CA 92801
Phone: 714-535-8900    Fax: 714-778-1418
Byung Wha Chun, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 3356 W Ball Rd, Suite: 115, Anaheim, CA 92804
Phone: 714-826-1274    Fax: 714-826-1274
Ronald S. Kohorn, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Debra Rae Gierut, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Peggy L. Grau, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Patrick D. Roth, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Anne L. Hardebeck, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    

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.