Mr Samuel Jesus Rosero Garcia, MD is a medicare enrolled "General Practice" physician in Lakeside, Arizona. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Dhhs Ihs Phoenix Area, Winslow Indian Health Care Center Inc and his current practice location is
300 W. White Mountain Blvd, Suite D, Lakeside, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 368-4547.
Mr Samuel Jesus Rosero Garcia is licensed to practice in Puerto Rico (license number 019230) 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 1912395807.
Physician's Profile
Full Name | Mr Samuel Jesus Rosero Garcia |
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Gender | Male |
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Speciality | General Practice |
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Experience | 24 Years |
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Location | 300 W. White Mountain Blvd, Suite D, Lakeside, Arizona |
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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:
- Mr Samuel Jesus Rosero Garcia graduated from medical school in 2000
NPI Data:
- NPI Number: 1912395807
- Provider Enumeration Date: 12/31/2014
- Last Update Date: 06/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 0244506418
- Enrollment ID: I20180427000082
Medical Identifiers
Medical identifiers for Mr Samuel Jesus Rosero Garcia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912395807 | NPI | - | NPPES |
019230 | Other | PR | PR LICENSURE BOARD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 61056 (Arizona) | Secondary |
208D00000X | General Practice | 61056 (Arizona) | Secondary |
208D00000X | General Practice | 019230 (Puerto Rico) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Dhhs Ihs Phoenix Area | 2668649567 | 56 |
Winslow Indian Health Care Center Inc | 4284548991 | 75 |
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. Mr Samuel Jesus Rosero Garcia allows following entities to bill medicare on his behalf.
Entity Name | Winslow Indian Health Care Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184729493 PECOS PAC ID: 4284548991 Enrollment ID: O20031117000864 |
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Entity Name | Kayenta Alternative Rural Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422 |
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Entity Name | Dhhs Ihs Phoenix Area |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427335140 PECOS PAC ID: 2668649567 Enrollment ID: O20120117000781 |
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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. Mr Samuel Jesus Rosero Garcia 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 |
Mr Samuel Jesus Rosero Garcia, MD 300 W. White Mountain Blvd, Suite D, Lakeside, AZ 85929 Ph: (928) 368-4547 | Mr Samuel Jesus Rosero Garcia, MD 300 W. White Mountain Blvd, Suite D, Lakeside, AZ 85929 Ph: (928) 368-4547 |
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