Michael A Medeiros, MD is a medicare enrolled "Psychiatry & Neurology - Clinical Neurophysiology" physician in Selma, California. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Saint Agnes Medical Center, Saint Agnes Medical Foundation, Community Care Services Llc and his current practice location is
2256 Dockery Ave Ste B, Selma, California. You can reach out to his office (for appointments etc.) via phone at
(559) 856-6170.
Michael A Medeiros is licensed to practice in Minnesota (license number 64725) 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 1417120866.
Physician's Profile
Full Name | Michael A Medeiros |
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Gender | Male |
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Speciality | Neurology |
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Experience | 17 Years |
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Location | 2256 Dockery Ave Ste B, Selma, California |
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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:
- Michael A Medeiros graduated from medical school in 2007
NPI Data:
- NPI Number: 1417120866
- Provider Enumeration Date: 04/07/2008
- Last Update Date: 12/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 4688809320
- Enrollment ID: I20131105000347
Medical Identifiers
Medical identifiers for Michael A Medeiros such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417120866 | NPI | - | NPPES |
12583839 | Other | CA | CAQH NUMBER |
A117400 | Other | CA | LICENSE NUMBER |
18511 | Other | NV | LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | A117400 (California) | Secondary |
2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 64725 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Saint Agnes Medical Center | 3971409335 | 24 |
Saint Agnes Medical Foundation | 7618946369 | 146 |
Community Care Services Llc | 1951324318 | 391 |
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. Michael A Medeiros allows following entities to bill medicare on his behalf.
Entity Name | Saint Agnes Medical Center |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1205845567 PECOS PAC ID: 3971409335 Enrollment ID: O20070824000478 |
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Entity Name | Saint Agnes Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558819482 PECOS PAC ID: 7618946369 Enrollment ID: O20170125002669 |
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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. Michael A Medeiros 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 |
Michael A Medeiros, MD 4032 W Swanson Ave, Caruthers, CA 93609-9552 Ph: (559) 856-6170 | Michael A Medeiros, MD 2256 Dockery Ave Ste B, Selma, CA 93662-3874 Ph: (559) 856-6170 |
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