Roger Samuel Proctor, MD is a medicare enrolled "Anesthesiology" physician in Pinole, California. His current practice location is
1700 San Pablo Ave, Pinole, California. You can reach out to his office (for appointments etc.) via phone at
(510) 724-9500.
Roger Samuel Proctor is licensed to practice in California (license number G46210) 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 1184761090.
Physician's Profile
| Full Name | Roger Samuel Proctor |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 1700 San Pablo Ave, Pinole, 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:
- Roger Samuel Proctor attended and graduated from in
NPI Data:
- NPI Number: 1184761090
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 01/10/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Roger Samuel Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184761090 | NPI | - | NPPES |
| 00G462100 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | G46210 (California) | Primary |
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. Roger Samuel Proctor 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 |
|---|
Roger Samuel Proctor, MD
210 N Tustin Ave,
Santa Ana, CA 92705-3807
Ph: (714) 347-1010 | Roger Samuel Proctor, MD
1700 San Pablo Ave,
Pinole, CA 94564-2081
Ph: (510) 724-9500 |
Reviews and Comments