Dr Kevin Tate Belasco, DO in Newport Beach, CA

Dr Kevin Tate Belasco, DO is a medicare enrolled "Dermatology" physician in Newport Beach, California. He graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Dermatology. His current practice location is 1501 Superior Ave Ste 115, Newport Beach, California. You can reach out to his office (for appointments etc.) via phone at (949) 640-7546.

Dr Kevin Tate Belasco is licensed to practice in California (license number 20A12076) 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 1578736724.

Contact Information

	Dr Kevin Tate Belasco, DO
	1501 Superior Ave Ste 115, Newport Beach, CA 92663-3606
	(949) 640-7546
	(949) 640-7547

Map and Direction

Physician's Profile

Full Name	Dr Kevin Tate Belasco
Gender	Male
Speciality	Dermatology
Experience	21 Years
Location	1501 Superior Ave Ste 115, Newport Beach, California
Accepts Medicare Assignments	Yes. 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 Kevin Tate Belasco graduated from medical school in 2004

NPI Data:

NPI Number: 1578736724
Provider Enumeration Date: 04/09/2008
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 5496829103
Enrollment ID: I20120321000578

Medical Identifiers

Medical identifiers for Dr Kevin Tate Belasco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578736724	NPI	-	NPPES
001417140	Other	WI	MEDICARE
P00690402	Other	WI	RAILROAD MEDICARE
51343-021	Other	WI	STATE LICENSE
1578736724	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	51343021 (Wisconsin)	Secondary
207N00000X	Dermatology	20A12076 (California)	Primary
207N00000X	Dermatology	DO1741 (Nevada)	Secondary

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 Kevin Tate Belasco allows following entities to bill medicare on his behalf.

Entity Name	Blue Harbor Dermatology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962829457 PECOS PAC ID: 5799902409 Enrollment ID: O20140804000947

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 Kevin Tate Belasco 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
Dr Kevin Tate Belasco, DO 1501 Superior Ave Ste 115, Newport Beach, CA 92663-3606 Ph: (949) 640-7546	Dr Kevin Tate Belasco, DO 1501 Superior Ave Ste 115, Newport Beach, CA 92663-3606 Ph: (949) 640-7546

Reviews and Comments

Dermatology Doctors in Newport Beach, CA

Annette Mcauley, RN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439
Joseph George Kamel, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 360 San Miguel Dr Ste 501, Newport Beach, CA 92660 Phone: 949-720-1170
Dr. Lisa Yun Xu, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 5010 Campus Dr Ste 120, Newport Beach, CA 92660 Phone: 949-773-4784
Laila M. Elkeeb, MD Dermatology Medicare: Medicare Enrolled Practice Location: 20301 Sw Birch St, 100, Newport Beach, CA 92660 Phone: 949-251-1502 Fax: 949-251-1522
Dr. Cynthia Chen Lazzaro, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1617 Westcliff Dr, Suite 100, Newport Beach, CA 92660 Phone: 949-515-4111
Samuel R Peterson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 360 San Miguel Dr Ste 309, Newport Beach, CA 92660 Phone: 949-640-0434
Nancy Lee Silverberg, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439

Dr Kevin Tate Belasco, DO - Medicare Dermatology in Newport Beach, CA