Samuel Hailemariam Fantaye, MD in Castro Valley, CA

Samuel Hailemariam Fantaye, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Castro Valley, California. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Endocrinology. He is a member of the group practice University Healthcare Alliance, University Of Texas Health Science Center At San Antonio and his current practice location is 20642 John Dr, Castro Valley, California. You can reach out to his office (for appointments etc.) via phone at (510) 857-2559.

Samuel Hailemariam Fantaye is licensed to practice in California (license number A169452) 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 1336677186.

Contact Information

	Samuel Hailemariam Fantaye, MD
	20642 John Dr, Castro Valley, CA 94546-5103
	(510) 857-2559
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel Hailemariam Fantaye
Gender	Male
Speciality	Endocrinology
Experience	20 Years
Location	20642 John Dr, Castro Valley, 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:

Samuel Hailemariam Fantaye graduated from medical school in 2004

NPI Data:

NPI Number: 1336677186
Provider Enumeration Date: 05/24/2017
Last Update Date: 10/08/2024

Medicare PECOS Information:

PECOS PAC ID: 8022434729
Enrollment ID: I20220715001840

Medical Identifiers

Medical identifiers for Samuel Hailemariam Fantaye such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336677186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QB0002X	Family Medicine - Obesity Medicine	A169452 (California)	Secondary
207R00000X	Internal Medicine	A169452 (California)	Secondary
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	A169452 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Health System	San antonio, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Healthcare Alliance	6305748799	341
University Of Texas Health Science Center At San Antonio	0042128548	1070

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. Samuel Hailemariam Fantaye allows following entities to bill medicare on his behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	University Healthcare Alliance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760531198 PECOS PAC ID: 6305748799 Enrollment ID: O20040126000292

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. Samuel Hailemariam Fantaye 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
Samuel Hailemariam Fantaye, MD 20642 John Dr, Castro Valley, CA 94546-5103 Ph: () -	Samuel Hailemariam Fantaye, MD 20642 John Dr, Castro Valley, CA 94546-5103 Ph: (510) 857-2559

Reviews and Comments

Internal Medicine Doctors in Castro Valley, CA

Dr. Oluwaseyi Segun Balasire, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-727-3256 Fax: 510-727-3107
Helen Woohee Yang, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 20642 John Dr, Castro Valley, CA 94546 Phone: 510-806-2100 Fax: 323-226-2657
Sarah Noonberg, MD, PHD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-889-5082
Dr. Moyra N Rasheed, M.B.B.S Endocrinology, Diabetes & Metabolism Medicare: May Accept Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-727-3256 Fax: 510-727-3107
Vishal Ghevariya, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 19845 Lake Chabot Rd, Ste 104, Castro Valley, CA 94546 Phone: 510-537-4415 Fax: 510-537-8265
Omar Faisal Saleem, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-727-3256 Fax: 510-727-3107
Stefani Wedl, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-889-5082

Samuel Hailemariam Fantaye, MD - Medicare Endocrinology in Castro Valley, CA