Dr Samuel Enrique Salcedo, MD is a medicare enrolled "Plastic Surgery" physician in Corona, California. His current practice location is
4226 Green River Rd Ste 101, Corona, California. You can reach out to his office (for appointments etc.) via phone at
(951) 268-6168.
Dr Samuel Enrique Salcedo is licensed to practice in California (license number A126962) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447518733.
Physician's Profile
| Full Name | Dr Samuel Enrique Salcedo |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 4226 Green River Rd Ste 101, Corona, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447518733
- Provider Enumeration Date: 04/25/2012
- Last Update Date: 02/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517184971
- Enrollment ID: I20140807001425
Medical Identifiers
Medical identifiers for Dr Samuel Enrique Salcedo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447518733 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | A126962 (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 Samuel Enrique Salcedo allows following entities to bill medicare on his behalf.
| Entity Name | Joseph K Ku Md, A Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265610737
PECOS PAC ID: 4385722065
Enrollment ID: O20080421000489 |
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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 Samuel Enrique Salcedo 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 |
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Dr Samuel Enrique Salcedo, MD
4226 Green River Rd Ste 101,
Corona, CA 92878-3829
Ph: (951) 268-6168 | Dr Samuel Enrique Salcedo, MD
4226 Green River Rd Ste 101,
Corona, CA 92878-3829
Ph: (951) 268-6168 |
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