Samuel Lowry Maxwell Jr, MD in Fullerton, CA - Medicare Diagnostic Radiology

Samuel Lowry Maxwell Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fullerton, California. He went to Harvard School Of Dental Medicine and graduated in 1973 and has 51 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice St Jude Radiology Medical Group Inc and his current practice location is 101 East Valencia Mesa Drive, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (714) 992-3978.

Samuel Lowry Maxwell Jr is licensed to practice in California (license number G58197) 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 1386740900.

Contact Information

	Samuel Lowry Maxwell Jr, MD
	101 East Valencia Mesa Drive, Fullerton, CA 92835
	(714) 992-3978
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel Lowry Maxwell Jr
Gender	Male
Speciality	Diagnostic Radiology
Experience	51 Years
Location	101 East Valencia Mesa Drive, Fullerton, 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:

Samuel Lowry Maxwell Jr attended and graduated from Harvard School Of Dental Medicine in 1973

NPI Data:

NPI Number: 1386740900
Provider Enumeration Date: 09/15/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 4486540846
Enrollment ID: I20050730000190

Medical Identifiers

Medical identifiers for Samuel Lowry Maxwell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386740900	NPI	-	NPPES
00G581970	Medicaid	CA
RHL128230	Other	CA	DEPT OF HEALTH SERVICES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	G58197 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Jude Medical Center	Fullerton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Jude Radiology Medical Group Inc	7214838002	50

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 Lowry Maxwell Jr allows following entities to bill medicare on his behalf.

Entity Name	St Jude Radiology Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649349705 PECOS PAC ID: 7214838002 Enrollment ID: O20040115000501

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 Lowry Maxwell Jr 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 Lowry Maxwell Jr, MD Po Box 4505, Woodland Hills, CA 91365-4505 Ph: (818) 597-3800	Samuel Lowry Maxwell Jr, MD 101 East Valencia Mesa Drive, Fullerton, CA 92835 Ph: (714) 992-3978

Reviews and Comments

Radiology Doctors in Fullerton, CA

Maren Radcliffe Ross Sowerby, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978
Hao Quy Ngo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978
Phillip Unger, MD Radiology Medicare: Medicare Enrolled Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-992-3978
Bradley A Jackson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-992-3978
Alan M Cohen, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 515 E Commonwealth Ave, Fullerton, CA 92832 Phone: 714-871-7118 Fax: 714-871-3372
Edgar Carmen Stambuk, MD Radiology Medicare: Medicare Enrolled Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978

Samuel Lowry Maxwell Jr, MD - Medicare Diagnostic Radiology in Fullerton, CA