Samantha Kasi Bodiford, MD in Imperial Beach, CA

Samantha Kasi Bodiford, MD is a medicare enrolled "Family Medicine" physician in Imperial Beach, California. Her current practice location is 949 Palm Ave, Imperial Beach, California. You can reach out to her office (for appointments etc.) via phone at (619) 429-3733.

Samantha Kasi Bodiford is licensed to practice in California (license number A165398) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730684200.

Contact Information

	Samantha Kasi Bodiford, MD
	949 Palm Ave, Imperial Beach, CA 91932-1503
	(619) 429-3733
	Not Available

Map and Direction

Physician's Profile

Full Name	Samantha Kasi Bodiford
Gender	Female
Speciality	Family Medicine
Location	949 Palm Ave, Imperial Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730684200
Provider Enumeration Date: 03/27/2018
Last Update Date: 09/23/2021

Medicare PECOS Information:

PECOS PAC ID: 4486045291
Enrollment ID: I20220104002558

Medical Identifiers

Medical identifiers for Samantha Kasi Bodiford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730684200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A165398 (California)	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. Samantha Kasi Bodiford allows following entities to bill medicare on her behalf.

Entity Name	Imperial Beach Community Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790718351 PECOS PAC ID: 6709867880 Enrollment ID: O20040525001394

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. Samantha Kasi Bodiford 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
Samantha Kasi Bodiford, MD 1022 E 15th St, National City, CA 91950-4707 Ph: (760) 681-9248	Samantha Kasi Bodiford, MD 949 Palm Ave, Imperial Beach, CA 91932-1503 Ph: (619) 429-3733

Reviews and Comments

Family Medicine Doctors in Imperial Beach, CA

Dr. Daniel Johnson, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 Fax: 619-429-6457
Faith Pauline Chisum, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 Fax: 619-429-3823
Mr. Vernon Greg Phillips, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-7700 Fax: 619-429-7703
Danielle Richardson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 828 5th St, Imperial Beach, CA 91932 Phone: 913-710-2420
Parmela Sawhney, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Palm Ave, Imperial Beach, CA 91932 Phone: 619-424-5106 Fax: 619-424-3648
Eric John Leute, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 949 Palm Avenue, Imperial Beach Health Center, Imperial Beach, CA 91932 Phone: 619-429-3733 Fax: 619-628-5550

Samantha Kasi Bodiford, MD - Medicare Family Medicine in Imperial Beach, CA