Dr Samuel Santelices, MD in Lake City, FL

Dr Samuel Santelices, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Lake City, Florida. His current practice location is 1859 Sw Newland Way, Lake City, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 758-0003.

Dr Samuel Santelices is licensed to practice in Florida (license number ME87551) 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 1669476552.

Contact Information

	Dr Samuel Santelices, MD
	1859 Sw Newland Way, Lake City, FL 32025-6966
	(386) 758-0003
	(386) 755-7940

Map and Direction

Physician's Profile

Full Name	Dr Samuel Santelices
Gender	Male
Speciality	Pediatrics - Adolescent Medicine
Location	1859 Sw Newland Way, Lake City, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669476552
Provider Enumeration Date: 06/08/2005
Last Update Date: 01/24/2017

Medicare PECOS Information:

PECOS PAC ID: 5092797274
Enrollment ID: I20040602000651

Medical Identifiers

Medical identifiers for Dr Samuel Santelices such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669476552	NPI	-	NPPES
267374600	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	ME87551 (Florida)	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 Santelices allows following entities to bill medicare on his behalf.

Entity Name	North Florida Pediatrics, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558602482 PECOS PAC ID: 8729997929 Enrollment ID: O20040602000593

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 Santelices 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 Samuel Santelices, MD 1859 Sw Newland Way, Lake City, FL 32025-6966 Ph: (386) 758-0003	Dr Samuel Santelices, MD 1859 Sw Newland Way, Lake City, FL 32025-6966 Ph: (386) 758-0003

Reviews and Comments

Pediatrics Doctors in Lake City, FL

Amna Zarar, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003 Fax: 386-755-7940
Ms. Sydney Taylor Borg, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003
Mr. Andres R Villar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 789 W Duval St, Lake City, FL 32055 Phone: 386-755-5044 Fax: 386-755-2518
Dr. Maria D. Smith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003 Fax: 386-755-4432
Dr. Frederick Thomas Weber, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003 Fax: 386-755-7940
Dr. Pamela G Santelices, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003 Fax: 386-755-7940
Brittany Lynn Bailey, APRN Pediatrics Medicare: Medicare Enrolled Practice Location: 1859 Sw Newland Way, Lake City, FL 32025 Phone: 386-758-0003

Dr Samuel Santelices, MD - Medicare Pediatrics in Lake City, FL