Samuel O Etchie, MD - Medicare Psychiatry in La Mesa, CA

Samuel O Etchie, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in La Mesa, California. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Psychiatry. His current practice location is 7200 Parkway Dr Ste 113, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (619) 337-0455.

Samuel O Etchie is licensed to practice in California (license number A53857) 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 1124039052.

Contact Information

Samuel O Etchie, MD
7200 Parkway Dr Ste 113,
La Mesa, CA 91942-1534
(619) 337-0455
(619) 667-6059

Map and Direction




Physician's Profile

Full NameSamuel O Etchie
GenderMale
SpecialityPsychiatry
Experience42 Years
Location7200 Parkway Dr Ste 113, La Mesa, California
Accepts Medicare AssignmentsYes. 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 O Etchie graduated from medical school in 1982
  NPI Data:
  • NPI Number: 1124039052
  • Provider Enumeration Date: 08/09/2006
  • Last Update Date: 08/23/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2769584853
  • Enrollment ID: I20070220000463

Medical Identifiers

Medical identifiers for Samuel O Etchie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124039052NPI-NPPES
00A538570MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry A53857 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Paradise Valley HospitalNational city, CAHospital
Grossmont HospitalLa mesa, CAHospital

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 O Etchie allows following entities to bill medicare on his behalf.
Entity NameScripps Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275899072
PECOS PAC ID: 9234033853
Enrollment ID: O20031124000822
Entity NameEmergency And Acute Care Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437103942
PECOS PAC ID: 9537108279
Enrollment ID: O20050502000734
Entity NameSamuel O T Etchie Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346669157
PECOS PAC ID: 8820220577
Enrollment ID: O20140410001623

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 O Etchie 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 AddressPractice Location Address
Samuel O Etchie, MD
7770 Regents Rd, # 130,
San Diego, CA 92122-1937

Ph: (619) 337-0455
Samuel O Etchie, MD
7200 Parkway Dr Ste 113,
La Mesa, CA 91942-1534

Ph: (619) 337-0455

Reviews and Comments


Psychiatry & Neurology Doctors in La Mesa, CA

Krauz K Ganadjian, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-615-5037    Fax: 619-740-4764
Christopher Goyne, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942
Phone: 858-499-2600    
Dr. Amirhassan Bahreman, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 8851 Center Dr, Suite 608, La Mesa, CA 91942
Phone: 619-460-5850    Fax: 619-460-5849
Dr. Vladimir Khalafian, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-354-0388    Fax: 844-211-3274
Dr. Heywood W Zeidman, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Spring St, Suite 220, La Mesa, CA 91941
Phone: 619-667-3380    Fax: 619-667-0815
Stephen Kaiser, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-356-3216    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.