Samuel D Esparza, MD is a medicare enrolled "Pediatrics" physician in Livingston, California. His current practice location is
1140 Main St, Livingston, California. You can reach out to his office (for appointments etc.) via phone at
(209) 394-7913.
Samuel D Esparza is licensed to practice in California (license number A82054) 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 1750416038.
Physician's Profile
| Full Name | Samuel D Esparza |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1140 Main St, Livingston, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750416038
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 9133220866
- Enrollment ID: I20070725000591
Medical Identifiers
Medical identifiers for Samuel D Esparza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750416038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 14085 (Nevada) | Secondary |
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | A82054 (California) | Secondary |
| 208000000X | Pediatrics | A82054 (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. Samuel D Esparza allows following entities to bill medicare on his behalf.
| Entity Name | Golden Valley Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356445753
PECOS PAC ID: 4183527187
Enrollment ID: O20040128000641 |
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| Entity Name | Livingston Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427110329
PECOS PAC ID: 8820084692
Enrollment ID: O20040426000617 |
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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. Samuel D Esparza 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 |
|---|
Samuel D Esparza, MD
1140 Main St,
Livingston, CA 95334-1257
Ph: (209) 394-7913 | Samuel D Esparza, MD
1140 Main St,
Livingston, CA 95334-1257
Ph: (209) 394-7913 |
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