Dr Michael Joseph Setareh, MD - Medicare Family Practice in Newport Beach, CA

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Dr Michael Joseph Setareh, MD is a medicare enrolled "Family Medicine" physician in Newport Beach, California. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Newport Care Medical Group Inc, J Michael Leary Md Inc and his current practice location is 3300 W Coast Hwy Ste A, Newport Beach, California. You can reach out to his office (for appointments etc.) via phone at (949) 491-9991.

Dr Michael Joseph Setareh is licensed to practice in California (license number A163285) 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 1568813244.

Contact Information

Dr Michael Joseph Setareh, MD
3300 W Coast Hwy Ste A,
Newport Beach, CA 92663-4025
(949) 491-9991
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael Joseph Setareh
GenderMale
SpecialityFamily Practice
Experience11 Years
Location3300 W Coast Hwy Ste A, Newport Beach, California
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 Michael Joseph Setareh graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1568813244
  • Provider Enumeration Date: 06/24/2016
  • Last Update Date: 09/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3274880182
  • Enrollment ID: I20190920000368

Medical Identifiers

Medical identifiers for Dr Michael Joseph Setareh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568813244NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine AT-1823194 (New York)Secondary
207Q00000XFamily Medicine A163285 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Newport Care Medical Group Inc690103352121
J Michael Leary Md Inc96382398252

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 Michael Joseph Setareh allows following entities to bill medicare on his behalf.
Entity NameJ Michael Leary Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891951059
PECOS PAC ID: 9638239825
Enrollment ID: O20081118000345
Entity NameNewport Care Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528401783
PECOS PAC ID: 6901033521
Enrollment ID: O20131205000911

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 Michael Joseph Setareh 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 Michael Joseph Setareh, MD
3300 W Coast Hwy, Ste A,
Newport Beach, CA 92663-4025

Ph: (718) 901-8297		Dr Michael Joseph Setareh, MD
3300 W Coast Hwy Ste A,
Newport Beach, CA 92663-4025

Ph: (949) 491-9991

Reviews and Comments


Family Medicine Doctors in Newport Beach, CA

Atef Khouzam, M.D
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Phone: 949-574-0777    Fax: 949-650-3505
Carol Shi, M.D
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Dr. Todd Andrew Forman, M.D.
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Dr. John Paul Laura, D.O
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Kristin Masukawa, MD
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Dr. Vincent D Nguyen, D.O.
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Dr. John G Miller, MD
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Practice Location: 355 Placentia Ave, Suite 103, Newport Beach, CA 92663
Phone: 949-645-6412    Fax: 949-645-8442

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.