Roger Samuel Proctor, MD is a medicare enrolled "Anesthesiology" physician in Pinole, California. He went to Loma Linda University School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Monterey Anesthesia Professionals and 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 |
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Gender | Male |
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Speciality | Anesthesiology |
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Experience | 44 Years |
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Location | 1700 San Pablo Ave, Pinole, 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:
- Roger Samuel Proctor attended and graduated from Loma Linda University School Of Medicine in 1980
NPI Data:
- NPI Number: 1184761090
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 01/10/2015
Medicare PECOS Information:
- PECOS PAC ID: 5890857239
- Enrollment ID: I20081219000169
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 |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Monterey Anesthesia Professionals | 6002047164 | 14 |
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. Roger Samuel Proctor allows following entities to bill medicare on his behalf.
Entity Name | Monterey Anesthesia Professionals |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073935250 PECOS PAC ID: 6002047164 Enrollment ID: O20140402002486 |
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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. 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 |
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