Samuel R Peterson, MD in Newport Beach, CA

Samuel R Peterson, MD is a medicare enrolled "Dermatology" physician in Newport Beach, California. His current practice location is 360 San Miguel Dr Ste 309, Newport Beach, California. You can reach out to his office (for appointments etc.) via phone at (949) 640-0434.

Samuel R Peterson is licensed to practice in California (license number C148028) 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 1073571295.

Contact Information

	Samuel R Peterson, MD
	360 San Miguel Dr Ste 309, Newport Beach, CA 92660-7829
	(949) 640-0434
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel R Peterson
Gender	Male
Speciality
Experience	Years
Location	360 San Miguel Dr Ste 309, Newport Beach, 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 R Peterson attended and graduated from in

NPI Data:

NPI Number: 1073571295
Provider Enumeration Date: 05/04/2006
Last Update Date: 01/19/2023

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Samuel R Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073571295	NPI	-	NPPES
107017630101	Other	UT	IHC HEALTHPLANS
QM0000066345	Other	UT	ALTIUS
P00066498	Other	UT	PALMETTO GBA
03.00174	Other	UT	UNITED HEALTHCARE
72756	Other	UT	PEHP
796725	Other	UT	DMBA
870281028000	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	52631431205 (Utah)	Secondary
207N00000X	Dermatology	C148028 (California)	Primary

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 R Peterson 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 R Peterson, MD 600 Corporate Dr, Ste 100, Ladera Ranch, CA 92694-2107 Ph: (949) 388-8022	Samuel R Peterson, MD 360 San Miguel Dr Ste 309, Newport Beach, CA 92660-7829 Ph: (949) 640-0434

Reviews and Comments

Dermatology Doctors in Newport Beach, CA

Annette Mcauley, RN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439
Joseph George Kamel, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 360 San Miguel Dr Ste 501, Newport Beach, CA 92660 Phone: 949-720-1170
Dr. Lisa Yun Xu, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 5010 Campus Dr Ste 120, Newport Beach, CA 92660 Phone: 949-773-4784
Laila M. Elkeeb, MD Dermatology Medicare: Medicare Enrolled Practice Location: 20301 Sw Birch St, 100, Newport Beach, CA 92660 Phone: 949-251-1502 Fax: 949-251-1522
Dr. Cynthia Chen Lazzaro, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1617 Westcliff Dr, Suite 100, Newport Beach, CA 92660 Phone: 949-515-4111
Nancy Lee Silverberg, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439

Samuel R Peterson, MD - Medicare in Newport Beach, CA