Elden Isaac Lopez Samayoa, MD in Pasco, WA

Elden Isaac Lopez Samayoa, MD is a medicare enrolled "Pediatrics" physician in Pasco, Washington. His current practice location is 4719 W Margaret St, Pasco, Washington. You can reach out to his office (for appointments etc.) via phone at (909) 486-3206.

Elden Isaac Lopez Samayoa is licensed to practice in Washington (license number MD00027394) 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 1699752295.

Contact Information

	Elden Isaac Lopez Samayoa, MD
	4719 W Margaret St, Pasco, WA 99301-2822
	(909) 486-3206
	Not Available

Map and Direction

Physician's Profile

Full Name	Elden Isaac Lopez Samayoa
Gender	Male
Speciality	Pediatrics
Location	4719 W Margaret St, Pasco, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699752295
Provider Enumeration Date: 12/27/2005
Last Update Date: 12/08/2015

Medicare PECOS Information:

PECOS PAC ID: 6608764741
Enrollment ID: I20151130000164

Medical Identifiers

Medical identifiers for Elden Isaac Lopez Samayoa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699752295	NPI	-	NPPES
1059633	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD00027394 (Washington)	Primary
207Q00000X	Family Medicine	A49982 (California)	Secondary

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. Elden Isaac Lopez Samayoa allows following entities to bill medicare on his behalf.

Entity Name	Southern Monterey County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114917564 PECOS PAC ID: 7719883461 Enrollment ID: O20050216000803

Entity Name	Southern Monterey County Memorial Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1114917564 PECOS PAC ID: 7719883461 Enrollment ID: O20200521000977

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. Elden Isaac Lopez Samayoa 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
Elden Isaac Lopez Samayoa, MD 4719 W Margaret St, Pasco, WA 99301-2822 Ph: (909) 486-3206	Elden Isaac Lopez Samayoa, MD 4719 W Margaret St, Pasco, WA 99301-2822 Ph: (909) 486-3206

Reviews and Comments

Pediatrics Doctors in Pasco, WA

Dr. Rolando Llanes Cayetano, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 531 W Park St, Suite #3, Pasco, WA 99301 Phone: 509-545-9012 Fax: 509-545-9373
Tamara M Cooks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-542-8836
Dr. Ziba Ghanbari Iraee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9605 Sandifur Pkwy, Pasco, WA 99301 Phone: 509-942-3170 Fax: 509-942-3203
Dr. Aaron Scott Richardson, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9605 Sandifur Pkwy, Pasco, WA 99301 Phone: 509-942-3627 Fax: 509-942-3203
Maria N Guevara, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-545-3960
Sean Patrick Brady, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9605 Sandifur Parkway, Pasco, WA 99301 Phone: 509-942-3170 Fax: 509-543-9795
Dr. Paolo Antonio De Belen De Vera, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7425 Wrigley Dr Ste 101, Pasco, WA 99301 Phone: 509-546-8399

Elden Isaac Lopez Samayoa, MD - Medicare Pediatrics in Pasco, WA